Organization
INTI FERNANDEZ M.D AT MIA, INC
Active
Other names
INTI FERNANDEZ M.D AT MIA, INC
Organization subpart
No
Provider details
NPI number
Authorized official
INTI FERNANDEZ MD (PRESIDENT)
(305) 903-7587
Entity
Organization
Contact information
Practice address
2100 NW 42ND AVE, MIAMI, FL 33126
(305) 903-7587
Mailing address
2100 NW 42ND AVE, MIAMI, FL 33126
(305) 903-7587
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659471101
IND NPI
FL
01
—
1831235043
NPI
FL
Enumeration date
05/21/2021
Last updated
05/21/2021
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