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Organization
ENDOCRINOLOGY INSTITUTE OF SOUTH FL LLC
Active
Organization
ENDOCRINOLOGY INSTITUTE OF SOUTH FL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORLANDO FERNANDEZ MD (MEDICAL DIRECTOR)
(239) 301-0105
Entity
Organization
Contact information
Practice address
4061 BONITA BEACH RD, STE 101, BONITA SPRINGS, FL 34134-4074
(239) 301-0105
(239) 301-0110
Mailing address
4061 BONITA BEACH RD, STE 101, BONITA SPRINGS, FL 34134-4074
(239) 301-0105
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME113113
FL
Other
Enumeration date
06/11/2014
Last updated
07/29/2014
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