Organization
INTI FERNANDEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INTI FERNANDEZ MD PA (DOCTOR)
(305) 222-9154
Entity
Organization
Contact information
Practice address
9804 SW 40TH ST, MIAMI, FL 33165-3912
(305) 222-9154
(305) 222-9155
Mailing address
5081 NW 5TH ST, MIAMI, FL 33126-3406
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME97323
FL
208D00000X
General Practice Physician
Primary
ME97323
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115648200
—
FL
01
—
ME97323
FLORIDA MD LIC#
FL
Enumeration date
01/29/2007
Last updated
08/21/2024
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