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Individual

MR. FERNANDO JOSE LORA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8300 W. FLAGLER ST, SUITE 175, MIAMI, FL 33144-2098
(305) 220-0300
(305) 220-1472
Mailing address
8300 W FLAGLER ST, STE 175, MIAMI, FL 33144-6000
(305) 220-0300
(305) 220-1472

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0045837
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
042148100
FL
Enumeration date
10/03/2006
Last updated
07/27/2016
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