Individual
DR. FERNANDO AUGUSTO SOARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8585 PICARDY AVE, BATON ROUGE, LA 70809-3748
(225) 397-1812
Mailing address
PO BOX 148, PRAIRIEVILLE, LA 70769-9997
(225) 433-2830
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
7406
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6632230
—
SD
Enumeration date
02/22/2009
Last updated
08/28/2024
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