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Individual

FELIX DE PAZ BANADERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
655 W 8TH ST, UFJP PEDIATRIC DEPT., JACKSONVILLE, FL 32209-6511
(904) 244-4242
(904) 244-4301
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301082877
MI
208000000X
Pediatrics Physician
ME101887
FL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME101887
FL

Other

Enumeration date
05/10/2007
Last updated
10/30/2008
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