Individual
ELIUD J FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1520 NW 140TH MNR, PEMBROKE PINES, FL 33028-3011
(954) 830-6838
Mailing address
420 E 1ST AVE APT B201, HIALEAH, FL 33010-6265
(786) 899-7737
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17177
FL
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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