Individual
MR. ANTHONY ORLANDO FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16401 NW 37TH AVE, MIAMI GARDENS, FL 33054-6313
(305) 761-4856
Mailing address
8880 NW 172ND TER, HIALEAH, FL 33018-6723
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11035689
FL
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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