MEDICARE: DAILIN FERNANDEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-23-262794	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093416463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAILIN FERNANDEZ

Provider Business Mailing Address
First Line	:	5808 LIME RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33413-1864
Country	:	US
Telephone Number	:	561-707-6850
Fax Number	:

Provider Business Practice Location Address
First Line	:	2191 PEPPER RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-7005
Country	:	US
Telephone Number	:	561-707-6850
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2023
Last Update Date	:	05/26/2023

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1861170805 — RENE FERNANDO DOMINGUEZ RODRIGUEZ
Practice Location Address:

2153 PEPPER RD
WEST PALM BEACH, FL
33415-7005

Practice Phone: 561-698-2785
Practice Fax:

1801666862 — YENDRY DIEGO MOLINA
Practice Location Address:

2153 PEPPER RD
WEST PALM BEACH, FL
33415-7005

Practice Phone: 561-698-2698
Practice Fax:

1811741986 — DANIEL ALEJANDRO DIAZ GONZALEZ
Practice Location Address:

2153 PEPPER RD
WEST PALM BEACH, FL
33415-7005

Practice Phone: 561-537-6873
Practice Fax:

1639302045 — IMPACT TECHNOLOGIES GROUP LLC
Practice Location Address:

5401 N HAVERHILL RD , SUITE 125
WEST PALM BEACH, FL
33407-7005

Practice Phone: 561-317-7546
Practice Fax: 561-296-6643

1114229879 — AMANDA MARIE METCALF OTRL
Practice Location Address:

7005 PONTIAC TRL
WEST BLOOMFIELD, MI
48323-2181

Practice Phone: 248-738-8101
Practice Fax:

Directions to “ DAILIN FERNANDEZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.