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Individual

LAURA ISIS FERNANDEZ-ORTIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9715 NE 2ND AVE, MIAMI SHORES, FL 33138-2310
(305) 757-8040
(305) 757-8011
Mailing address
9715 NE 2ND AVE, MIAMI SHORES, FL 33138-2310
(305) 757-8040
(305) 757-8011

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME82129
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000170492
HUMANA
01
10716
DIMENSION
01
205780617
GREAT WEST
01
219688703
UNITED
01
2625476
AETNA
01
305423
AVMED
FL
01
3434187
CIGNA
01
38940
NHP
01
46690
BCBS
01
9344211
PHCS
01
P3202324
OXFORD
Enumeration date
05/12/2006
Last updated
03/29/2011
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