Individual
FERNANDO ENRIQUE AMADOR FIALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16400 S HIGHWAY 25, WEIRSDALE, FL 32195-2442
(352) 821-9797
Mailing address
16400 S HIGHWAY 25, WEIRSDALE, FL 32195-2442
(352) 821-9797
(352) 821-0553
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME167486
FL
Other
Enumeration date
07/04/2021
Last updated
02/20/2025
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