MEDICARE: MEYBI FERNANDEZ

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	367A00000X	Advanced Practice Midwife	APRN9296428	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497161509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEYBI FERNANDEZ

Provider Business Mailing Address
First Line	:	2300 W 84TH ST STE 500
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-5773
Country	:	US
Telephone Number	:	305-512-4858
Fax Number	:	954-430-3667

Provider Business Practice Location Address
First Line	:	2300 W 84TH ST STE 500
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-5773
Country	:	US
Telephone Number	:	305-512-4858
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2014
Last Update Date	:	05/14/2019

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Directions to “ MEYBI FERNANDEZ ” Practice Location

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