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Organization
FIDEL HERNANDO HENRIQUEZ MD PA
Active
Organization
FIDEL HERNANDO HENRIQUEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FIDEL HERNANDO HENRIQUEZ MDPA (PHYSICIAN)
(954) 442-1402
Entity
Organization
Contact information
Practice address
10796 PINES BLVD, SUITE 103, PEMBROKE PINES, FL 33026-3919
(954) 442-1402
(954) 442-1418
Mailing address
10796 PINES BLVD, SUITE 103, PEMBROKE PINES, FL 33026-3919
(954) 442-1402
(954) 442-1418
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME0058002
FL
Other
Enumeration date
12/19/2006
Last updated
05/27/2010
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