Individual
YISELL FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 ALTON RD, MIAMI BEACH, FL 33140-2948
(305) 674-2121
Mailing address
511 SW 115TH AVE, MIAMI, FL 33174-1074
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
11026428
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
11026428
FL
Other
Enumeration date
06/06/2023
Last updated
02/21/2025
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