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1316907504
HERNANDO DE SOTO
JACKSONVILLE, FL
NPI
1316907504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: FL ME52994)
Enumeration Date
2006-03-23
Last Update Date
2007-12-02
Business Address
Dr. HERNANDO DE SOTO M.D.
655 W 8TH ST UFJP ANESTHESIA DEPT
JACKSONVILLE, FL 32209-6511
Phone number: 904-244-5431
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Mailing Address
Dr. HERNANDO DE SOTO M.D.
PO BOX 44008 UFJP PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number: 904-244-3660
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