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Individual

FRANCIS J FERNANDEZ JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 200-2355
Mailing address
2600 WESTHALL LN FL 4, MAITLAND, FL 32751-7102
(407) 200-2355

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME53579
FL
2085R0204X
Vascular & Interventional Radiology Physician
ME53579
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037055000
FL
01
07455
BCBS OF FLORIDA
FL
01
300033022
RR MEDICARE
FL
Enumeration date
07/07/2005
Last updated
04/11/2016
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