Organization
FERNANDEZ FAMILY MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INTI FERNANDEZ MD (PRESIDENT)
(305) 903-7587
Entity
Organization
Contact information
Practice address
901 SW 87TH AVE, SUITE # A, MIAMI, FL 33174-3206
(305) 512-0080
(305) 512-0082
Mailing address
901 SW 87TH AVE, SUITE # A, MIAMI, FL 33174-3206
(305) 512-0080
(305) 512-0082
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME97323
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007660200
—
FL
Enumeration date
05/07/2013
Last updated
05/07/2013
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