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Individual

EDUARDO FERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
350 NW 84TH AVE, SUITE 102, PLANTATION, FL 33324-1817
(954) 370-7555
(954) 370-7554
Mailing address
2234 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME0073378
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1228843
FIRST HEALTH PROVIDER #
FL
01
170049
WELLCARE PROVIDER NUMBER
FL
01
222166
AMERIGROUP PROVIDER #
FL
01
224268
WELLCARE
FL
01
251555
AVMED PROVIDER NUMBER
FL
05
252758800
FL
01
259097
AVMED PROVIDER NUMBER
FL
01
41696
BCBS PROVIDER NUMBER
FL
01
4197468
GHI PROVIDER NUMBER
FL
01
5070616
AETNA PROVIDER NUMBER
FL
01
843672
USA MNGD. CR. PROVIDER #
FL
01
8790
TOTAL HLTH CH PROVIDER #
FL
01
9137
DIMENSION PROVIDER NUMBER
FL
01
FLPV00003667229
MOLINA MCR
FL
01
P0003151
FLORIDA HEALTHCARE PLUS
FL
01
QMP000003667229
MOLINA MCD
FL
Enumeration date
06/22/2005
Last updated
10/15/2012
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