Organization
COMPREHENSIVE PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO FERNANDEZ M.D. (CO PRESIDENT)
(305) 532-9900
Entity
Organization
Contact information
Practice address
4302 ALTON RD, SUITE 900, MIAMI BEACH, FL 33140-2891
(305) 534-4888
(305) 675-2788
Mailing address
4302 ALTON RD, SUITE 900, MIAMI BEACH, FL 33140-2891
(305) 534-4888
(305) 675-2788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72605
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/11/2006
Last updated
06/08/2015
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