Organization
MIAMI SHORES PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ISIS FERNANDEZ-ORTIZ MD (PRESIDENT)
(305) 757-8040
Entity
Organization
Contact information
Practice address
9715 NE 2ND AVE, MIAMI SHORES, FL 33138-2310
(305) 757-8040
Mailing address
9715 NE 2ND AVE, MIAMI SHORES, FL 33138-2310
(305) 757-8040
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME82129
FL
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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