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Organization
JUAN A FERNANDEZ MD PA
Active
Organization
JUAN A FERNANDEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN A FERNANDEZ MD (PRESIDENT)
(305) 648-1087
Entity
Organization
Contact information
Practice address
5040 NW 7TH ST, SUITE 370, MIAMI, FL 33126-3422
(305) 648-1087
(305) 648-1088
Mailing address
PO BOX 142201, CORAL GABLES, FL 33114-2201
(305) 648-1087
(305) 648-1088
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME68513
FL
207RN0300X
Nephrology Physician
Primary
ME68513
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q0414
MEDICARE PTAN
FL
Enumeration date
07/18/2006
Last updated
02/17/2016
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