MEDICARE: ORLANDO FERNANDEZ MD

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	207Q00000X	Family Medicine Physician	28429	FL

General Provider Information

NPI Number	:	1518030881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ORLANDO FERNANDEZ MD

Provider Business Mailing Address
First Line	:	1773 SW 5TH ST STE 2
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-3509
Country	:	US
Telephone Number	:	305-649-4894
Fax Number	:	305-541-3252

Provider Business Practice Location Address
First Line	:	1877 W FLAGLER ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33135-1939
Country	:	US
Telephone Number	:	305-649-4894
Fax Number	:	305-541-3252

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

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	08/19/2010

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Directions to “ ORLANDO FERNANDEZ MD” Practice Location

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