Individual
MRS. MIGDALYS FERNANDEZ I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12732 AVE SWE 17 TERRA, 12732, MIAMI, FL 33175
(786) 426-7071
Mailing address
12732 SW 17TH TER, 12732 SW 17 TERR, MIAMI, FL 33175-1223
(786) 426-7071
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
62399
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62399
MASSAGE THERAPIST
FL
Enumeration date
04/07/2011
Last updated
04/07/2011
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