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Organization
NOEL DE JESUS FERNANDEZ MD PA
Active
Organization
NOEL DE JESUS FERNANDEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRIS MARTINEZ (COO)
(786) 703-1535
Entity
Organization
Contact information
Practice address
6738 W SUNRISE BLVD STE 102, PLANTATION, FL 33313-6070
(954) 530-5835
(954) 337-6216
Mailing address
1975 W 76TH ST, HIALEAH, FL 33014-3269
(786) 703-1535
(305) 397-2725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017678803
—
FL
Enumeration date
08/31/2021
Last updated
08/31/2021
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