Organization
CARMEN C FERNANDEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEN C FERNANDEZ MD PA (DR)
(305) 569-0002
Entity
Organization
Contact information
Practice address
6419 SW BIRD ROAD, MIAMI, FL 33155
(305) 569-0002
(305) 569-0005
Mailing address
PO BOX 830848, MIAMI, FL 33283-0848
(305) 569-0002
(305) 569-0005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047928400
—
FL
Enumeration date
07/21/2008
Last updated
08/11/2010
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