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Individual

JOAN FERNANDEZ DE LA VEGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11510 QUAIL ROOST DR, MIAMI, FL 33157-6548
(305) 256-3056
Mailing address
11510 QUAIL ROOST DR, MIAMI, FL 33157-6548
(305) 256-3056

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1742
FL

Other

Enumeration date
04/15/2024
Last updated
08/14/2025
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