Individual
GILDA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-AUDILOGIST
Contact information
Practice address
350 WEST 49TH AVE, HIALEAH, FL 33012
(305) 558-5561
Mailing address
PO BOX 406153, ATLANTA, GA 30384-1876
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1100
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4899799
GHI
FL
05
—
600342700
—
FL
Enumeration date
06/22/2006
Last updated
10/07/2008
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