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Organization
INTERNAL MEDICINE OF SOUTH FL LLC
Active
Organization
INTERNAL MEDICINE OF SOUTH FL LLC
Active
Parent organization
INTERNAL MEDICINE OF SOUTH FL LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERNAL MEDICINE OF SOUTH FL LLC
Authorized official
DR. ORLANDO FERNANDEZ M.D. (MEDICAL DIRECTOR)
(239) 304-9071
Entity
Organization
Contact information
Practice address
12264 TAMIAMI TRL E, NAPLES, FL 34113-7942
(239) 304-9071
Mailing address
12264 TAMIAMI TRL E, NAPLES, FL 34113-7942
(239) 304-9071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME113113
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14LR2
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/08/2014
Last updated
05/08/2014
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