Healthcare Provider Details

I. General information

NPI: 1245935568
Provider Name (Legal Business Name): SILVIA M FERNANDEZ PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2023
Last Update Date: 04/04/2023
Certification Date: 04/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7250 W 24TH AVE STE 19
HIALEAH FL
33016-1701
US

IV. Provider business mailing address

330 SW 187TH AVE
PEMBROKE PINES FL
33029-5434
US

V. Phone/Fax

Practice location:
  • Phone: 305-822-8234
  • Fax: 305-822-8246
Mailing address:
  • Phone: 305-215-6986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberPS27603
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: