Individual
ANA JULIA FANDINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10300 SW 72ND ST STE 430, MIAMI, FL 33173-3021
(786) 427-6644
(786) 623-0931
Mailing address
10300 SW 72ND ST STE 430, MIAMI, FL 33173-3021
(786) 427-6644
(786) 623-0931
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME 91994
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272739100
—
FL
Enumeration date
06/03/2006
Last updated
12/26/2017
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