| Lino B Fernandez Md Pa | |
|
717 Ponce De Leon Blvd Suite 202 Coral Gables FL 33134-2060 | |
| (305) 444-3532 | |
| (305) 442-1104 |
| Full Name | Lino B Fernandez Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 717 Ponce De Leon Blvd, Coral Gables, Florida |
| Authorized Official Name and Position | Lino Bernabe Fernandez (OWNER) |
| Authorized Official Contact | 3054443532 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lino B Fernandez Md Pa 717 Ponce De Leon Blvd Suite 202 Coral Gables FL 33134-2060 Ph: (305) 444-3532 | Lino B Fernandez Md Pa 717 Ponce De Leon Blvd Suite 202 Coral Gables FL 33134-2060 Ph: (305) 444-3532 |
| NPI Number | 1427174747 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 03/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427174747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | ME39453 (Florida) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME39453 (Florida) | Primary |
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