Individual
ELIAS FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP-C
Contact information
Practice address
1120 NW 14TH ST, MIAMI, FL 33136
(305) 243-3583
Mailing address
1120 NW 14TH ST, MIAMI, FL 33136-2107
(305) 243-3583
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
693796
NY
363L00000X
Nurse Practitioner
Primary
ARNP9368599
FL
363LF0000X
Family Nurse Practitioner
341660
NY
Other
Enumeration date
03/20/2017
Last updated
06/13/2018
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