Organization
JOSE FERNANDEZ, M.D.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE FERNANDEZ M.D. (PRESIDENT)
(305) 251-8016
Entity
Organization
Contact information
Practice address
10700 CARIBBEAN BLVD, SUITE # 108, CUTLER BAY, FL 33189-1232
(305) 251-8016
(305) 251-8017
Mailing address
10700 CARIBBEAN BLVD, SUITE # 108, CUTLER BAY, FL 33189-1232
(305) 251-8016
(305) 251-8017
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME65542
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375244500
—
FL
Enumeration date
07/08/2014
Last updated
07/08/2014
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