MEDICARE: ELIZA FERNANDEZ FIRST ASSISTANT

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	246ZC0007X	Surgical Assistant	24-342	FL

General Provider Information

NPI Number	:	1447094537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZA FERNANDEZ FIRST ASSISTANT

Provider Business Mailing Address
First Line	:	6580 GRANT ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-5840
Country	:	US
Telephone Number	:	305-992-2593
Fax Number	:

Provider Business Practice Location Address
First Line	:	6580 GRANT ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-5840
Country	:	US
Telephone Number	:	305-992-2593
Fax Number	:

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

Provider Enumeration Date	:	06/24/2024
Last Update Date	:	06/24/2024

Similar Medicare Providers

1215487004 — PUBLIX SUPER MARKETS INC
Practice Location Address:

6901 TAFT ST
HOLLYWOOD, FL
33024-3801

Practice Phone: 954-961-2083
Practice Fax: 954-362-9346

1346281847 — PUBLIX SUPER MARKETS INC
Practice Location Address:

9359 SHERIDAN ST
HOLLYWOOD, FL
33024-8560

Practice Phone: 954-433-2710
Practice Fax: 954-433-2715

1730176694 — MR. HOKE TJIWAN HAN MD
Practice Location Address:

6030 HOLLYWOOD BLVD , STE 100
HOLLYWOOD, FL
33024-7964

Practice Phone: 954-322-7200
Practice Fax: 954-322-7203

1093068090 — MARLON BLANCO
Practice Location Address:

6517 TAFT ST
HOLLYWOOD, FL
33024-4062

Practice Phone: 305-282-4063
Practice Fax:

1962653675 — DR. PRASOON POOZHIKUNNATH MOHAN MD
Practice Location Address:

7369 SHERIDAN ST STE 300
HOLLYWOOD, FL
33024-2776

Practice Phone: 305-204-7276
Practice Fax:

1265525703 — HANGER PROSTHETICS & ORTHOTICS, INC.
Practice Location Address:

6030 HOLLYWOOD BLVD STE 120
PEMBROKE PINES, FL
33024-7923

Practice Phone: 954-981-4800
Practice Fax: 954-981-5222

Directions to “ ELIZA FERNANDEZ FIRST ASSISTANT” 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.