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Organization
FLORIDA CARDIOCARE, PLLC
Active
Organization
FLORIDA CARDIOCARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN FERNS MD (PHYSICIAN/ OWNER)
(352) 854-4582
Entity
Organization
Contact information
Practice address
10435 SE 170TH PL, SUMMERFIELD, FL 34491-8998
(352) 854-4582
(352) 245-1162
Mailing address
10435 SE 170TH PL, SUMMERFIELD, FL 34491-8998
(352) 854-4582
(352) 245-1162
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME85309
FL
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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