Individual
MR. RAFAEL FERNANDEZ NOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
7401 COLDSTREET DR, HIALEAH, FL 33015
(786) 799-3630
Mailing address
7401 COLDSTREET DR, HIALEAH, FL 33015
(786) 799-3630
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
FL
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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