Organization
JUAN MIGUEL FERNANDEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN MIGUEL FERNANDEZ MD (PRESIDENT)
(305) 633-3667
Entity
Organization
Contact information
Practice address
2322 NW 28TH ST, MIAMI, FL 33142-6543
(305) 633-3667
Mailing address
1135 SW 96TH AVE, MIAMI, FL 33174-2929
(305) 633-3667
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME 100705
FL
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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