# PALM SPRING MEDICAL CARE OF HIALEAH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255670592
- **Authorized official:** MARIA C FERNANDEZ MD (PRESIDENT)
- **Authorized official phone:** (786) 315-6153

## Contact information

- **Practice address:** 1140 W 50TH ST STE 205, HIALEAH, FL 33012-3438
- **Practice address phone:** (305) 315-6153
- **Mailing address:** 1140 W 50TH ST STE 205, HIALEAH, FL 33012-3438
- **Mailing address phone:** (305) 315-6153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME105031 | FL | Yes |

## Other

- **Enumeration date:** 02/06/2013
- **Last updated:** 02/06/2013
