Provider Demographics
NPI:1922394485
Name:FERNANDEZ, SANDER (MD)
Entity Type:Individual
Prefix:
First Name:SANDER
Middle Name:
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 1:7481 BIRD RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-6635
Mailing Address - Country:US
Mailing Address - Phone:786-615-4228
Mailing Address - Fax:786-615-4213
Practice Address - Street 1:7481 BIRD RD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-6635
Practice Address - Country:US
Practice Address - Phone:786-615-4228
Practice Address - Fax:786-615-4213
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201401596207Q00000X
FLME128120208M00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist