Individual
IVETTE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 CRANDON BLVD STE 211, KEY BISCAYNE, FL 33149-2552
(305) 505-9934
Mailing address
575 CRANDON BLVD APT 613, KEY BISCAYNE, FL 33149-1865
(305) 505-9934
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA10026
FL
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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