Individual
MAXIMO JOSE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4765 VOLUNTEER RD STE 404, DAVIE, FL 33330-2128
(954) 374-7545
(954) 374-7543
Mailing address
4765 VOLUNTEER RD STE 404, DAVIE, FL 33330-2128
(954) 374-7545
(954) 374-7543
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME 107066
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003521900
—
FL
01
—
FM440Z
MEDICARE PTAN
FL
Enumeration date
12/03/2007
Last updated
12/17/2025
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