Organization
NEUROINTERVENTIONAL CONSULTANTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA M FERNANDEZ MD (DIRECTOR / PRESIDENT)
(210) 287-7311
Entity
Organization
Contact information
Practice address
100 LINCOLN RD, # 1403, MIAMI BEACH, FL 33139-2013
(210) 287-7311
Mailing address
100 LINCOLN RD, # 1403, MIAMI BEACH, FL 33139-2013
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME114714
FL
2085N0700X
Neuroradiology Physician
ME114714
FL
Other
Enumeration date
03/04/2014
Last updated
04/30/2014
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