# MANUEL A FERNANDEZ MD PA

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

## Provider details

- **NPI number:** 1881850303
- **Authorized official:** DR. MANUEL A FERNANDEZ MDPA MD (PRESIDENT/OWNER)
- **Authorized official phone:** (305) 207-7595

## Contact information

- **Practice address:** 9600 SW 8TH ST STE 15, MIAMI, FL 33174-2947
- **Practice address phone:** (305) 207-7595
- **Practice address fax:** (305) 207-6273
- **Mailing address:** 9600 SW 8TH ST STE 15, MIAMI, FL 33174-2947
- **Mailing address phone:** (305) 207-7595
- **Mailing address fax:** (305) 207-6273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME17907 | FL | — |
| 208D00000X | General Practice Physician | ME17907 | FL | Yes |

## Other

- **Enumeration date:** 08/04/2008
- **Last updated:** 08/01/2016