Organization
BENIDECTO FERNANDEZ MD P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENIDECTO FERNANDEZ M.D. (PRESIDENT)
(305) 362-4979
Entity
Organization
Contact information
Practice address
2140 W 68TH ST, SUITE 406, HIALEAH, FL 33016-1815
(305) 362-4979
(305) 362-6810
Mailing address
2140 W 68TH ST, SUITE 406, HIALEAH, FL 33016-1815
(305) 362-4979
(305) 362-6810
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME0050321
FL
Other
Enumeration date
06/18/2006
Last updated
01/09/2008
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