Individual
AMANDA DANIELLE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Mailing address
3100 SW 62ND AVE STE 3109, MIAMI, FL 33155-3009
(305) 662-8386
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
945476
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
11032545
FL
Other
Enumeration date
02/04/2020
Last updated
05/23/2024
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