# UNIQUE MEDICAL GROUP OF FLORIDA, CORP

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

## Provider details

- **NPI number:** 1679759732
- **Authorized official:** INTI FERNANDEZ M.D. (PRESIDENT)
- **Authorized official phone:** (305) 512-0080

## Contact information

- **Practice address:** 4410 W 16TH AVE, SUITE 55, HIALEAH, FL 33012-7100
- **Practice address phone:** (305) 512-0080
- **Practice address fax:** (305) 512-0083
- **Mailing address:** 4410 W 16TH AVE, SUITE 55, HIALEAH, FL 33012-7100
- **Mailing address phone:** (305) 512-0080
- **Mailing address fax:** (305) 512-0083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME97323 | FL | Yes |

## Other

- **Enumeration date:** 01/18/2008
- **Last updated:** 01/18/2008