Kristina Fiedler Dematas D.O.

NPI 1710149620 - Family Medicine - 207Q00000X

NPI Details
NPI 1710149620
Gender Female
Enumeration Date 07/01/2008
Last Updated 02/04/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
4500 SAN PABLO RD S
JACKSONVILLE FL, 32224-1865, US
Phone (904) 953-2000
Fax
Business Location
4500 SAN PABLO RD S
JACKSONVILLE FL, 32224-1865, US
Phone (904) 953-2000
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 125.054283
Remove 1710149620 NPI Number
 

According to our database, Kristina Fiedler Dematas D.O. NPI is 1710149620, taxonomy code is 207Q00000X and license number is 125.054283, license state is located at Illinois. Kristina Fiedler Dematas D.O. physically located at 4500 San Pablo Rd S, Jacksonville FL, 32224-1865. NPI Number Kristina Fiedler Dematas D.O. has the Individual type.

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1710149620 NPI number is provided on an as is basis without warranty of any kind. 1710149620 is maintained by the National Plan & Provider Enumeration System. The contents of Kristina Fiedler Dematas D.O. are for informational purposes only.