Healthcare Provider Details

I. General information

NPI: 1851215263
Provider Name (Legal Business Name): ALEXIS FERNANDEZ RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ALEXIS FERNANDEZ GONZALEZ RPH

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 ANSIN BLVD STE A
HALLANDALE BEACH FL
33009-3104
US

IV. Provider business mailing address

400 ANSIN BLVD STE A
HALLANDALE BEACH FL
33009-3104
US

V. Phone/Fax

Practice location:
  • Phone: 305-919-7399
  • Fax:
Mailing address:
  • Phone: 305-919-7399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS51598
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: