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NPI Code Detail

MEDICARE: CHASSITY DENISE FERNANDEZ

MEDICARE:   CHASSITY DENISE 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
1390200000XStudent in an Organized Health Care Education/Training ProgramFL

General Provider Information

NPI Number : 1780564286
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHASSITY DENISE FERNANDEZ
Provider Business Mailing Address
First Line : 140 NW 59TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33127-1218
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 140 NW 59TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33127-1218
Country : US
Telephone Number : 305-774-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2025
Last Update Date : 04/09/2026

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Directions to “ CHASSITY DENISE FERNANDEZ ” Practice Location

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