Provider Demographics
NPI:1720269608
Name:FERNANDEZ, GIL M (MD)
Entity Type:Individual
Prefix:
First Name:GIL
Middle Name:M
Last Name:FERNANDEZ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2007 PALM BEACH LAKES BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-6501
Mailing Address - Country:US
Mailing Address - Phone:561-420-8555
Mailing Address - Fax:888-442-6078
Practice Address - Street 1:2007 PALM BEACH LAKES BLVD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6501
Practice Address - Country:US
Practice Address - Phone:561-420-8555
Practice Address - Fax:888-442-6078
Is Sole Proprietor?:No
Enumeration Date:2007-11-19
Last Update Date:2014-02-10
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Provider Licenses
StateLicense IDTaxonomies
MO2006014651207Q00000X
CT048058207Q00000X
FLME116423207Q00000X
MO2010029567207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine