Provider Demographics
NPI:1750670170
Name:FERNANDEZ & ASSOCIATES PA
Entity Type:Organization
Organization Name:FERNANDEZ & ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:FERNANDEZ-BRAVO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-474-5668
Mailing Address - Street 1:201 NW 82ND AVE STE 307
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1855
Mailing Address - Country:US
Mailing Address - Phone:954-474-5668
Mailing Address - Fax:954-474-4562
Practice Address - Street 1:201 NW 82ND AVE STE 307
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1855
Practice Address - Country:US
Practice Address - Phone:954-474-5668
Practice Address - Fax:954-474-4562
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty