Individual
DR. IDANIA A FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1869 NW 20TH ST, MIAMI, FL 33142-7431
(305) 549-7333
Mailing address
1267 SW 19TH ST, MIAMI, FL 33145-2914
(305) 794-3783
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 004790
FL
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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