Organization
MILLENNIUM PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN MARY FERNANDEZ MD (PRESIDENT)
(305) 554-1110
Entity
Organization
Contact information
Practice address
13155 SW 42ND ST STE 106, MIAMI, FL 33175-3428
(305) 554-1110
(305) 554-1455
Mailing address
13155 SW 42ND ST STE 106, MIAMI, FL 33175-3428
(305) 554-1110
(305) 554-1455
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OS-06734
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G12847
UPIN
FL
01
—
OS-06734
LIC #
FL
Enumeration date
10/25/2007
Last updated
10/25/2007
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