Individual
DR. CARLOS FERNANDEZ-MAYMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 MEMORIAL MEDICAL PKWY STE 405, DAYTONA BEACH, FL 32117-5169
(989) 584-3981
Mailing address
305 MEMORIAL MEDICAL PKWY STE 405, DAYTONA BEACH, FL 32117-5169
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
6839
PR
208000000X
Pediatrics Physician
4301067245
MI
208000000X
Pediatrics Physician
Primary
ME145523
FL
Other
Enumeration date
12/19/2005
Last updated
06/29/2020
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