Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | ME112453 | FL |
NPI | 1629283460 |
---|---|
Provider Name | Claudia Fernandez |
First Address | Southwest Ranches, FL 33331-1446 |
Second Address | Pembroke Pines, FL 33024-3617 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 27/09/2019 |