Iglecia - Fernandez, Raymond

Iglecia - Fernandez, Raymond is an individual health care provider with primary practice located at 2440 Hooks St , Clermont FL 34711-3514. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Iglecia - Fernandez, Raymond can be contacted via phone (352) 394-0833.

Contact Information

Primary practice address
2440 Hooks St Clermont FL 34711-3514
Phone: (352) 394-0833
Fax: (523) 394-0367
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101030060 Virginia
Allopathic & Osteopathic Physicians / Pain Medicine 2084P2900X 0101030060 Virginia

Profile Details

NPI number 1043320021
LBN Legal business name Iglecia - Fernandez, Raymond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated May 14th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043320021 NPPES
Virgin Islands Other 150343300 US DEPT OF LABOR
Virgin Islands Other C10333 US DEPT OF LABOR
Virgin Islands Other 1043320021 US DEPT OF LABOR
Virgin Islands MEDICAID 890627X US DEPT OF LABOR
Virgin Islands Other O86851 US DEPT OF LABOR

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