# FERNANDEZ BLAY MD PA

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

## Provider details

- **NPI number:** 1306898242
- **Authorized official:** ROBERTO CARLOS FERNANDEZ BLAY MD (PRES/OWNER)
- **Authorized official phone:** (305) 322-8096

## Contact information

- **Practice address:** 2488 N UNIVERSITY DR, PEMBROKE PINES, FL 33024-3624
- **Practice address phone:** (954) 983-9191
- **Practice address fax:** (305) 829-1401
- **Mailing address:** 14143 SW 52ND ST, MIRAMAR, FL 33027-5978
- **Mailing address phone:** (305) 322-8096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME93447 | FL | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 10/27/2008