Individual
DR. KEIKO FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1800 SW 1ST AVE STE 502, MIAMI, FL 33129-1181
(786) 399-4453
(888) 368-4883
Mailing address
1800 SW 1ST AVE STE 502, MIAMI, FL 33129-1181
(786) 399-4453
(888) 368-4883
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
029175
NY
2251P0200X
Pediatric Physical Therapist
Primary
25823
FL
2251S0007X
Sports Physical Therapist
029175
NY
2251S0007X
Sports Physical Therapist
25823
FL
2251X0800X
Orthopedic Physical Therapist
029175
NY
2251X0800X
Orthopedic Physical Therapist
25823
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F655500817220
DRIVERS LISENCE
FL
Enumeration date
01/28/2009
Last updated
07/11/2019
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