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Next Update: Thursday, December 19, 2024 12:00 PM CST
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FUENTES, JUAN CARLOS
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This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
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| Practice Address: |
524 SKYMARKS DR
SUITE 1
JACKSONVILLE FL 32218
Address last updated on 10/16/2019 |
| Phone #: |
(904) 696-7333 |
| Fax #: |
(904) 696-1926 |
| County: |
NOT OKLAHOMA |
| License: |
25947 |
| Dated: |
11/1/2007 |
| Expires: |
1/30/2021 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Nac'L Auto De Honduras, Fac De Cien Med, Tegucigalpa, Honduras |
| Graduated: |
2 /
1994 |
| CME Year: |
2022 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF FAMILY MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna Elect Choice
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Coventry Health Care National Network
HealthChoice
Humana ChoiceCare
Humana Tricare/PGBA
OSMA Health (formerly Plico PPO)
SoonerCare HMO
SoonerCare PPO
Tricare Standard
United Healthcare Choice
United Healthcare EPO |
| Hospital Privileges: |
Elkview General Hospital
Hobart, OK
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