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Individual

MRS. ROSA R MONTE-FERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2900 S COMMERCE PKWY, WESTON, FL 33331-3622
(954) 217-6585
(954) 217-6586
Mailing address
PO BOX 557367, MIAMI, FL 33255-7367
(786) 624-5845
(786) 624-2688

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME61105
FL
305R00000X
Preferred Provider Organization
Primary
ME61105
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003172300
FL
Enumeration date
01/16/2007
Last updated
06/22/2012
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