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Individual

DON D FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1451 NE 4TH AVE, FORT LAUDERDALE, FL 33304-1033
(954) 627-9118
(954) 627-9822
Mailing address
1451 NE 4TH AVE, FORT LAUDERDALE, FL 33304-1033
(954) 627-9118
(954) 627-9822

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS0003995
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7342847
CIGNA
FL
01
82312
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
05/06/2006
Last updated
12/03/2008
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