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Individual

DR. CARMEN C FERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5000 UNIVERSITY DR, 3RD FLOOR, CORAL GABLES, FL 33146-2008
(305) 569-0002
(305) 569-0005
Mailing address
PO BOX 830848, MIAMI, FL 33283-0848
(305) 569-0002

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
ME 43067
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
047928400
FL
01
650237193
TAX ID
FL
01
96497
BLUE CROSS BLUE SHIELD
FL
01
P00120067
RAILROAD MEDICARE
FL
Enumeration date
05/03/2006
Last updated
12/21/2012
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