Individual
ROSA M FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 W FLAGLER ST # 3, MIAMI, FL 33135-2098
(305) 649-4527
Mailing address
1701 W FLAGLER ST # 3, MIAMI, FL 33135-2098
(305) 649-4527
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO1949
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086551600
—
FL
Enumeration date
09/06/2006
Last updated
07/08/2007
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