Individual
EDUARDO FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
8415 SW 24TH ST STE 205, MIAMI, FL 33155-2305
(305) 262-6868
(305) 262-6867
Mailing address
11066 SW 247TH TER, HOMESTEAD, FL 33032-4693
(305) 321-8650
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16519
FL
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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