Provider Demographics
NPI:1710057997
Name:FERNANDEZ, MARIA OFELIA (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:OFELIA
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MISS
Other - First Name:MARIA
Other - Middle Name:OFELIA
Other - Last Name:HERNANDEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:760 EAST 11TH PLACE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-3648
Mailing Address - Country:US
Mailing Address - Phone:305-888-6147
Mailing Address - Fax:
Practice Address - Street 1:4200 W FLAGLER ST
Practice Address - Street 2:WHOLE HEALTH CENTER FPL WELL
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1606
Practice Address - Country:US
Practice Address - Phone:305-569-4125
Practice Address - Fax:305-569-4124
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1612032363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health