Individual
DR. VIVIAN T FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD RDN LDN CDE
Contact information
Practice address
8375 SW 64TH ST, MIAMI, FL 33143-2529
(305) 323-7687
Mailing address
8375 SW 64TH ST, MIAMI, FL 33143-2529
(305) 323-7687
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
R10546
FL
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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