Organization
FERNANDO J. DUARTE D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO JOSE DUARTE D.M.D. (PRESIDENT)
(305) 251-9762
Entity
Organization
Contact information
Practice address
8977 SW 152ND ST, PALMETTO BAY, FL 33157-1925
(305) 251-9762
(305) 251-9766
Mailing address
8977 SW 152ND ST, PALMETTO BAY, FL 33157-1925
(305) 251-9762
(305) 251-9766
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN15137
FL
Other
Enumeration date
01/20/2009
Last updated
06/04/2014
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