Individual
ANGELA Z. FANDINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8175 NW 12TH ST, SUITE 306 (ATTN.: NYDIA AGUERO), DORAL, FL 33126-1828
(786) 845-0173
(305) 470-5846
Mailing address
8175 NW 12TH ST, SUITE 306 (ATTN.: NYDIA AGUERO), DORAL, FL 33126-1828
(786) 845-0173
(305) 470-5846
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME14851
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037673600
—
FL
Enumeration date
10/26/2006
Last updated
06/09/2011
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