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NPI Code Detail

MEDICARE: JASMINE FERNANDEZ MD

MEDICARE: JASMINE FERNANDEZ MD
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
1390200000XStudent in an Organized Health Care Education/Training ProgramFL

General Provider Information

NPI Number : 1720921182
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE FERNANDEZ MD
Provider Business Mailing Address
First Line : 1520 NW 125TH AVE
Second Line :
City : SUNRISE
State : FL
Zip : 33323-5241
Country : US
Telephone Number : 954-643-6029
Fax Number :
Provider Business Practice Location Address
First Line : 2001 W 68TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33016-1898
Country : US
Telephone Number : 305-823-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2026
Last Update Date : 04/10/2026

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Directions to “ JASMINE FERNANDEZ MD” Practice Location

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