Individual
DR. FERNANDO MORENO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2627 RIVERSIDE AVE, JACKSONVILLE, FL 32204-4717
(904) 308-7372
(904) 308-2998
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6017
(904) 450-6041
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
147498
NY
207V00000X
Obstetrics & Gynecology Physician
G87312
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
ME107706
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022352800
—
FL
Enumeration date
12/27/2005
Last updated
07/21/2022
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