# MANUEL F FERNANDEZ MD PA

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

## Provider details

- **NPI number:** 1528110046
- **Authorized official:** MANUEL F FERNANDEZ MD (OWNER)
- **Authorized official phone:** (305) 207-1818

## Contact information

- **Practice address:** 8420 W FLAGLER ST, SUITE 220, MIAMI, FL 33144-2045
- **Practice address phone:** (305) 207-1818
- **Practice address fax:** (305) 207-1820
- **Mailing address:** 8420 W FLAGLER ST, SUITE 220, MIAMI, FL 33144-2045
- **Mailing address phone:** (305) 207-1818
- **Mailing address fax:** (305) 207-1820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME66369 | FL | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 04/04/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 373393900 | — | FL |