Individual
JOSE A GARCIA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
7500 SW 8TH ST, MIAMI, FL 33144-4400
(305) 534-0076
Mailing address
1400 NW 107TH AVE STE 500, SWEETWATER, FL 33172-2746
(305) 534-0076
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
09177
FL
363L00000X
Nurse Practitioner
Primary
APRN11010321
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NX741
MEDICARE
FL
Enumeration date
02/09/2010
Last updated
09/08/2021
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