Individual
FERNANDO FUENTES EIMIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
5901 SW 74TH ST STE 205, MIAMI, FL 33143-5150
(305) 666-8691
Mailing address
14750 NW 77TH CT STE 100, MIAMI LAKES, FL 33016-1507
(786) 758-3152
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11002932
FL
363LF0000X
Family Nurse Practitioner
F06191046
FL
Other
Enumeration date
06/19/2019
Last updated
07/19/2021
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