NESTOR FERNANDEZ, M.D., P.A.
Medical Practice at Atlantic Blvd, Pompano Beach, FL

License number
Florida ME56218
Category
Osteopathic Medicine
Type
Internal Medicine
License number
Florida ME56218
Category
Medical Practice
Type
Pain Medicine
Owner
Name: DR. NESTOR FERNANDEZ M.D.
Title: PRESIDENT
Phone: (954) 975-4333
Address
Address 2
5412 W Atlantic Blvd, Pompano Beach, FL 33063
10097 Cleary Blvd STE 271, Fort Lauderdale, FL 33324
National Provider ID: 1023227899
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NESTOR FERNANDEZ, M.D., PA

Pompano Beach, FL  -  Fort Lauderdale, FL

Status:
Inactive
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Apr 27, 1995
Inactive since:
Sep 27, 2013
Addresses:
5412 W Atlantic Blvd, Pompano Beach, FL 33063 (Physical)
10097 Cleary Blvd #271, Fort Lauderdale, FL 33324 (Mailing)
State ID:
P12000007077
Business type:
Florida Profit Corporation
President, Director:
Nestor Fernandez President, Director, inactive, 10097 Cleary Blvd #271, Fort Lauderdale, FL 33324 (Physical)
EIN:
NO-NE

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