# ENRIQUE C FERNANDEZ MD PA

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

## Provider details

- **NPI number:** 1932383460
- **Authorized official:** MR. ENRIQUE C FERNANDEZ MD (PRESIDENT)
- **Authorized official phone:** (305) 559-9732

## Contact information

- **Practice address:** 11760 BIRD RD, SUITE 741, MIAMI, FL 33175-3582
- **Practice address phone:** (305) 559-9732
- **Practice address fax:** (786) 427-1332
- **Mailing address:** PO BOX 558642, MIAMI, FL 33255-8642
- **Mailing address phone:** (305) 559-9732
- **Mailing address fax:** (786) 427-1332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME87802 | FL | Yes |

## Other

- **Enumeration date:** 12/19/2007
- **Last updated:** 02/03/2011