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Individual
MR. NOEL DE JESUS FERNANDEZ
Active
Individual
MR. NOEL DE JESUS FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME89477
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272344100
—
FL
01
—
50044
MEDICARE PTAN
FL
Enumeration date
01/19/2007
Last updated
09/12/2019
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