Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | ME54284 | FL |
NPI | 1437181674 |
---|---|
Provider Name | Hugo Francisco Fernandez |
First Address | Miramar, FL 33025-3925 |
Second Address | Pembroke Pines, FL 33028-1021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 18/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
063343700 | (05) | FL |
E86881 | (02) | FL |