Organization
FERNANDEZ BLAY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO CARLOS FERNANDEZ BLAY MD (PRES/OWNER)
(305) 322-8096
Entity
Organization
Contact information
Practice address
2488 N UNIVERSITY DR, PEMBROKE PINES, FL 33024-3624
(954) 983-9191
(305) 829-1401
Mailing address
14143 SW 52ND ST, MIRAMAR, FL 33027-5978
(305) 322-8096
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME93447
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274947500
—
FL
Enumeration date
05/17/2006
Last updated
10/27/2008
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