Provider Demographics
NPI:1144385519
Name:FERNANDEZ PROFESSIONAL HEALTH CARE,INC
Entity Type:Organization
Organization Name:FERNANDEZ PROFESSIONAL HEALTH CARE,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-888-3241
Mailing Address - Street 1:4471 NW 36TH ST
Mailing Address - Street 2:SUIT 211
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-7285
Mailing Address - Country:US
Mailing Address - Phone:305-888-3241
Mailing Address - Fax:305-888-3299
Practice Address - Street 1:4471 NW 36TH ST
Practice Address - Street 2:SUIT 211
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-7285
Practice Address - Country:US
Practice Address - Phone:305-888-3241
Practice Address - Fax:305-888-3299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health