10D1019928 CLIA NUMBER - ENRIQUE C FERNANDEZ MD PA

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Laboratory Demographics

CLIA Number: 10D1019928

Facility Name: ENRIQUE C FERNANDEZ MD PA

Facility Address:
11760 SW BIRD RD STE 741
MIAMI, FL
ZIP 33175
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Facility Phone Number: 305 559-9732

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1528040086

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	10D1019928
LAB Type	Physician Office
Facility Name	ENRIQUE C FERNANDEZ MD PA
Street	11760 SW BIRD RD STE 741
City	MIAMI
State	FL
ZIP	33175
Phone	305 559-9732
CertificateType	4
CertificateEffectiveDate	12/4/2023
CertificateExpirationDate	12/3/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024