Individual
MARIA E FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1281 NW 6TH ST # D1, MIAMI, FL 33125-4719
(305) 547-2220
(305) 547-2221
Mailing address
1400 NE 169TH ST APT 314, MIAMI, FL 33162-2871
(786) 970-6232
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5180989
FL
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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