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1760748644
MARYGOLD LORA FERNANDEZ
DAVENPORT, FL
NPI
1760748644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME127988)
Enumeration Date
2012-04-05
Last Update Date
2018-06-16
Business Address
MARYGOLD LORA FERNANDEZ M.D.
2302 NORTH BLVD W STE D
DAVENPORT, FL 33837-8920
Phone number: 863-422-1400
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Mailing Address
MARYGOLD LORA FERNANDEZ M.D.
15763 SHOREBIRD LN
WINTER GARDEN, FL 34787-4553
Phone number: 407-745-1849
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