Individual
MR. MANUEL FERNANDO ANTUN FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1475 W 49TH PL, HIALEAH, FL 33012-3113
(305) 558-2500
Mailing address
1475 W 49TH PL, HIALEAH, FL 33012-3113
(305) 558-2500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
TRN27682
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
04/13/2018
Last updated
04/15/2021
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