# INNOVA PHYSICIANS NETWORK LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Health and Wellnes Centers of Miami
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487596672
- **Authorized official:** MS. FABIOLA FERNANDEZ (DIRECTOR)
- **Authorized official phone:** (786) 320-3460

## Contact information

- **Practice address:** 5881 NW 151ST ST STE 201, MIAMI LAKES, FL 33014-2442
- **Practice address phone:** (786) 320-3460
- **Practice address fax:** (305) 203-0729
- **Mailing address:** 10280 NW 46TH ST, DORAL, FL 33178-2258
- **Mailing address phone:** (786) 320-3460
- **Mailing address fax:** (305) 203-0729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207NI0002X | Clinical & Laboratory Dermatological Immunology Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 207RI0001X | Clinical & Laboratory Immunology (Internal Medicine) Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | — | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | — | — |
| 261QP2300X | Primary Care Clinic/Center | — | — | — |
| 302R00000X | Health Maintenance Organization | — | — | — |

## Other

- **Enumeration date:** 04/07/2026
- **Last updated:** 04/10/2026