Individual
DR. JUAN E FERNANDEZ- MACEIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
931 W OAK ST, STE 103, KISSIMMEE, FL 34741-4973
(407) 931-0444
(407) 962-4446
Mailing address
308 W BASS ST, KISSIMMEE, FL 34741-5001
(407) 483-8801
(407) 483-1298
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
17259
PR
208D00000X
General Practice Physician
Primary
ACN302
FL
Other
Enumeration date
08/13/2008
Last updated
01/24/2018
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