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1902194004
CARLOS FERNANDES
JACKSONVILLE, FL
NPI
1902194004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: FL MFC1679)
Enumeration Date
2011-07-11
Last Update Date
2011-07-11
Business Address
-- CARLOS FERNANDES MD
655 W 8TH ST
JACKSONVILLE, FL 32209-6511
Phone number: 904-383-1017
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Mailing Address
-- CARLOS FERNANDES MD
PO BOX 44008 UFJP PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number:
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