Individual
DR. AMY HEATHER FISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7875 SW 104TH ST, 201, MIAMI, FL 33156-2677
(305) 270-7572
(305) 270-1974
Mailing address
9500 S DADELAND BLVD, 200, MIAMI, FL 33156-2824
(305) 468-4185
(305) 675-3378
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MB07903200
NJ
207L00000X
Anesthesiology Physician
Primary
OS14201
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS14201
MEDICAL LICENSE
FL
Enumeration date
11/17/2006
Last updated
12/06/2016
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