MEDICARE: FERNANDEZ PROFESSIONAL HEALTH CARE,INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		FL

General Provider Information

NPI Number	:	1144385519
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FERNANDEZ PROFESSIONAL HEALTH CARE,INC

Provider Business Mailing Address
First Line	:	4471 NW 36TH ST
Second Line	:	SUIT 211
City	:	MIAMI SPRINGS
State	:	FL
Zip	:	33166-7285
Country	:	US
Telephone Number	:	305-888-3241
Fax Number	:	305-888-3299

Provider Business Practice Location Address
First Line	:	4471 NW 36TH ST
Second Line	:	SUIT 211
City	:	MIAMI SPRINGS
State	:	FL
Zip	:	33166-7285
Country	:	US
Telephone Number	:	305-888-3241
Fax Number	:	305-888-3299

Authorized Official
Title or Position	:	RN
Name	:	MS. JULIE FERNANDEZ
Credential	:
Telephone Number	:	305-888-3241

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	08/22/2020

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