Individual
ALVARO FAJARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1720 SW JAMESPORT DR, PORT SAINT LUCIE, FL 34953-4355
(305) 479-4677
Mailing address
1720 SW JAMESPORT DR, PORT SAINT LUCIE, FL 34953-4355
(305) 479-4677
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11010534
FL
Other
Enumeration date
04/02/2021
Last updated
04/22/2021
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