Individual
MIGUEL JACOBO FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 200-2355
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 200-2355
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME129696
FL
Other
Enumeration date
10/25/2006
Last updated
01/30/2020
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