Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | APRN11003451 | FL |
N | 207Q00000X | Family Doctor | APRN11003451 | FL |
Y | 2080P0204X | Pediatric Emergency Doctor | APRN11003451 | FL |
NPI | 1205480209 |
---|---|
Provider Name | Arletis Fernandez |
First Address | Miami, FL 33155-3009 |
Second Address | Miami, FL 33155-3009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2019 |
Last Update Date | 19/11/2019 |