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Individual

EDGAR SERGE FERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1012 LUCERNE TER, ORLANDO, FL 32806-1015
(407) 423-1039
(407) 425-2347
Mailing address
1012 LUCERNE TER, ORLANDO, FL 32806-1015
(407) 423-1039
(407) 425-2347

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME143670
FL
207RI0200X
Infectious Disease Physician
3008
MN
207RI0200X
Infectious Disease Physician
72796
AZ
207RI0200X
Infectious Disease Physician
84410-20
WI
207RI0200X
Infectious Disease Physician
Primary
ME143670
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
109063800
FL
01
ME143670
STATE LICENSE
FL
Enumeration date
04/03/2017
Last updated
05/16/2025
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