Individual
AXIS MORALES FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IMG, MSN, FNP - BC
Contact information
Practice address
9250 NW 25TH ST, DORAL, FL 33172-1503
(786) 597-4951
Mailing address
14172 SW 150TH AVE, MIAMI, FL 33196-5602
(786) 597-4951
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11021102
FL
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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