Individual
JESUS CARLOS FABREGAS MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1750 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4611
(954) 265-4325
(954) 276-0765
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-0278
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
ME136687
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111579600
—
FL
Enumeration date
07/07/2009
Last updated
07/20/2023
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