Individual
ALEXIS PEDRO FERNANDEZ DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1695 NW 110TH AVE STE 218, MIAMI, FL 33172-1929
(305) 456-7580
Mailing address
12901 SW 148TH TERRACE RD, MIAMI, FL 33186-6311
(786) 603-5358
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11035389
FL
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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