Fernandez, Marygold Lora
Fernandez, Marygold Lora is an individual health care provider with primary practice located at 2302 North Blvd W Ste D , Davenport FL 33837-8920. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fernandez, Marygold Lora can be contacted via phone (863) 422-1400.Contact Information
Primary practice address
2302 North Blvd W Ste D
Davenport FL 33837-8920
Phone: (863) 422-1400
Fax: (863) 422-4616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME127988 | Florida |
Profile Details
| NPI number | 1760748644 |
|---|---|
| LBN Legal business name | Fernandez, Marygold Lora |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2012 |
| Last updated | Jun 16th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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