Organization
LINO B FERNANDEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINO BERNABE FERNANDEZ SR. M.D. (OWNER)
(305) 444-3532
Entity
Organization
Contact information
Practice address
717 PONCE DE LEON BLVD, SUITE 202, CORAL GABLES, FL 33134-2060
(305) 444-3532
(305) 442-1104
Mailing address
717 PONCE DE LEON BLVD, SUITE 202, CORAL GABLES, FL 33134-2060
(305) 444-3532
(305) 442-1104
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
ME39453
FL
2084P0800X
Psychiatry Physician
Primary
ME39453
FL
Other
Enumeration date
03/21/2007
Last updated
03/05/2008
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