Individual
ELIZA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FIRST ASSISTANT
Contact information
Practice address
6580 GRANT ST, HOLLYWOOD, FL 33024-5840
(305) 992-2593
Mailing address
6580 GRANT ST, HOLLYWOOD, FL 33024-5840
(305) 992-2593
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
24-342
FL
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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