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Individual

ADAM FUEREDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3660 BROADWAY, FORT MYERS, FL 33901-8005
(239) 936-2316
Mailing address
3660 BROADWAY, FORT MYERS, FL 33901-8005
(239) 936-2316

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME34062
FL
2085U0001X
Diagnostic Ultrasound Physician
ME34062
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
065013700
FL
01
11114
BLUE CROSS FLORIDA
FL
01
300051030
RAILROAD MEDICARE
FL
Enumeration date
05/11/2006
Last updated
11/21/2014
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