Individual
JOSE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10700 CARIBBEAN BLVD, STE 108, MIAMI, FL 33189
(305) 251-8016
(305) 251-8017
Mailing address
520 LEE DRIVE, MIAMI SPRINGS, FL 33166
(305) 888-5752
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0065542
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375244500
—
FL
Enumeration date
07/20/2006
Last updated
09/20/2011
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