Individual
DR. IDANIA MELO FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3160 W 76TH ST, HIALEAH, FL 33018-3886
(305) 826-8353
(305) 826-8012
Mailing address
3160 W 76TH ST, HIALEAH, FL 33018-3886
(305) 826-8353
(305) 826-8012
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME82719
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262380300
—
FL
Enumeration date
08/12/2005
Last updated
11/12/2009
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