Provider Demographics
NPI:1558366377
Name:FERNANDEZ, ARMANDO ANDRES (MD)
Entity Type:Individual
Prefix:
First Name:ARMANDO
Middle Name:ANDRES
Last Name:FERNANDEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8890 W OAKLAND PARK BLVD
Mailing Address - Street 2:STE 100
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-7223
Mailing Address - Country:US
Mailing Address - Phone:954-748-6558
Mailing Address - Fax:954-741-3306
Practice Address - Street 1:8890 W OAKLAND PARK BLVD
Practice Address - Street 2:STE 100
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-7223
Practice Address - Country:US
Practice Address - Phone:954-748-6558
Practice Address - Fax:954-741-3306
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0055266207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE51876Medicare UPIN
FL12242Medicare ID - Type Unspecified