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Individual
DR. INTI FERNANDEZ
Active
Individual
DR. INTI FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME 97323
FL
208D00000X
General Practice Physician
Primary
ME97323
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007660200
—
FL
01
—
AG020B
GROUP MEDICARE
FL
01
—
AG060W
IND MCARE PROVIDER NUMBER
FL
01
—
ME97323
STATE LICENSE
FL
Enumeration date
10/13/2006
Last updated
05/26/2026
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