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General NPI Number Information
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NPI Number | 1831235043
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Entity Type | Organization
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Legal Business Name | INTI FERNANDEZ MD PA
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 9804 SW 40TH ST
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City | MIAMI
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State | FL
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Zip | 33165-3912
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Country | US
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Telephone | 305-222-9154
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Fax | 305-222-9155
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Provider Business Mailing Address
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Address Line | 5081 NW 5TH ST
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City | MIAMI
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State | FL
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Zip | 33126-3406
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. INTI FERNANDEZ
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Credential | MD PA
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Telephone | 305-222-9154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME97323
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME97323
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License Number State | FL
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