Individual
DR. JORGE ENRIQUE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11420 N KENDALL DR STE 110, MIAMI, FL 33176-1039
(786) 353-2536
Mailing address
16325 NW 78TH AVE, MIAMI LAKES, FL 33016-8410
(786) 218-0068
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
020989
PR
208D00000X
General Practice Physician
ACN - 752
FL
208D00000X
General Practice Physician
Primary
ME163130
FL
Other
Enumeration date
11/14/2011
Last updated
01/23/2024
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