Individual
DANIELLE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10200 NW 25TH ST # A108, DORAL, FL 33172-5921
(786) 717-5649
Mailing address
10200 NW 25TH ST # A108, DORAL, FL 33172-5921
(786) 717-5649
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA20392
FL
235Z00000X
Speech-Language Pathologist
SZ10245
FL
Other
Enumeration date
09/03/2021
Last updated
08/15/2022
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