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General NPI Number Information
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NPI Number | 1679800544
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Entity Type | Organization
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Legal Business Name | JOAQUIN R FERNANDEZ DPM PA
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Dates
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Enumeration Date | 11/12/2009
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 7500 SW 8TH ST
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City | MIAMI
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State | FL
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Zip | 33144-4400
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Country | US
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Telephone | 305-606-1422
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Fax |
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Provider Business Mailing Address
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Address Line | 14340 LAKE CANDLEWOOD CT
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City | MIAMI LAKES
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State | FL
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Zip | 33014-3016
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Country | US
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Telephone | 305-606-1422
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOAQUIN R FERNANDEZ
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Credential | DPM
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Telephone | 305-606-1422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO2621
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License Number State | FL
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