# ANA J FANDINO MD PA

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

## Provider details

- **NPI number:** 1639102155
- **Authorized official:** ANA JULIA FANDINO MD (PRESIDENT)
- **Authorized official phone:** (305) 551-5051

## Contact information

- **Practice address:** 9780 SW 24TH ST, MIAMI, FL 33165-7574
- **Practice address phone:** (305) 551-5051
- **Practice address fax:** (305) 551-8808
- **Mailing address:** 9780 SW 24TH ST, MIAMI, FL 33165-7574
- **Mailing address phone:** (305) 551-5051
- **Mailing address fax:** (305) 551-8808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME91994 | FL | Yes |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 08/17/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 272739100 | — | FL |