Organization
ENRIQUE C FERNANDEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ENRIQUE C FERNANDEZ MD (PRESIDENT)
(305) 559-9732
Entity
Organization
Contact information
Practice address
11760 BIRD RD, SUITE 741, MIAMI, FL 33175-3582
(305) 559-9732
(786) 427-1332
Mailing address
PO BOX 558642, MIAMI, FL 33255-8642
(305) 559-9732
(786) 427-1332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME87802
FL
Other
Enumeration date
12/19/2007
Last updated
02/03/2011
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