Individual
JANNY MARTINEZ FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15305 NW 60TH AVE STE 100, MIAMI LAKES, FL 33014-2461
(786) 536-7561
Mailing address
15305 NW 60TH AVE STE 100, MIAMI LAKES, FL 33014-2461
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCMS.0102858
FL
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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