Individual
LOURDES CAROLINA CERON-CANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1539 PARENTAL HOME RD, JACKSONVILLE, FL 32216
(904) 338-0434
(904) 425-0821
Mailing address
13758 CLUB COVE DR, JACKSONVILLE, FL 32225-5430
(904) 891-9498
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
ME90074
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269926500
—
FL
Enumeration date
07/03/2006
Last updated
05/17/2018
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