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Individual

FERNANDO FERRAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6862 SW 157TH CT, MIAMI, FL 33193-3659
(305) 409-2953
Mailing address
8040 NW 95TH ST STE 223-224, MIAMI LAKES, FL 33016-2362

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN9423509
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN9423509
DOH
FL
Enumeration date
06/30/2017
Last updated
06/30/2017
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