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Organization

NATASHA A FAJARDO MD PA

Active
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Organization

NATASHA A FAJARDO MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NATASHA AILIME FAJARDO MD (MEDICAL DIRECTOR)
(786) 338-5020
Entity
Organization

Contact information

Practice address
5995 SW 71ST ST STE 403-A, SOUTH MIAMI, FL 33143-3531
(305) 894-7400
(305) 894-7487
Mailing address
12555 SW 46TH ST, MIAMI, FL 33175-4725
(786) 338-5020
(305) 894-7400

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
07/23/2025
Last updated
07/23/2025
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