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NPI Code Detail

MEDICARE: LINO B. FERNANDEZ MD

MEDICARE: LINO B. 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
12084P0804XChild & Adolescent Psychiatry PhysicianME39453FL
22084P0805XGeriatric Psychiatry PhysicianME39453FL
32084P0800XPsychiatry PhysicianME39453FL

Other Identifiers

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

General Provider Information

NPI Number : 1881682342
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINO B. FERNANDEZ MD
Provider Business Mailing Address
First Line : 2103 CORAL WAY STE 601
Second Line :
City : CORAL GABLES
State : FL
Zip : 33145-2656
Country : US
Telephone Number : 305-967-8144
Fax Number : 888-845-0592
Provider Business Practice Location Address
First Line : 2103 CORAL WAY STE 601
Second Line :
City : CORAL GABLES
State : FL
Zip : 33145-2656
Country : US
Telephone Number : 305-967-8144
Fax Number : 888-845-0592
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2005
Last Update Date : 01/03/2020

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Directions to “ LINO B. FERNANDEZ MD” Practice Location

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