Individual
EVARISTO FERNANDEZ SADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6440 W NEWBERRY RD STE 102, GAINESVILLE, FL 32605-4368
(352) 333-5610
(352) 333-5611
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME147003
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2012
Last updated
02/09/2022
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