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General NPI Number Information
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NPI Number | 1124226600
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Entity Type | Organization
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Legal Business Name | HUMBERTO FERNANDEZ-MIRO MD PA
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Dates
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Enumeration Date | 07/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7460 SW 64TH ST
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-2802
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Country | US
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Telephone | 305-691-7515
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Fax | 305-666-6211
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Provider Business Mailing Address
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Address Line | 7460 SW 64TH ST
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-2802
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Country | US
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Telephone | 305-691-7515
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Fax | 305-666-6211
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Authorized Official
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Title or Position | PRESIDENT
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Name | HUMBERTO FERNANDEZ-MIRO
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Credential |
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Telephone | 305-691-7515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State | FL
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