| M F Fernandez Md Kelly Medical Center Co Inc | |
|
29613 Sw 162nd Ave Homestead FL 33033-3328 | |
| (305) 245-7787 | |
| (305) 245-7740 |
| Full Name | M F Fernandez Md Kelly Medical Center Co Inc |
|---|---|
| Speciality | General Practice |
| Location | 29613 Sw 162nd Ave, Homestead, Florida |
| Authorized Official Name and Position | Manuel F Fernandez (OWNER) |
| Authorized Official Contact | 3052457787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M F Fernandez Md Kelly Medical Center Co Inc 29613 Sw 162nd Ave Homestead FL 33033-3328 Ph: (305) 245-7787 | M F Fernandez Md Kelly Medical Center Co Inc 29613 Sw 162nd Ave Homestead FL 33033-3328 Ph: (305) 245-7787 |
| NPI Number | 1245381052 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 07/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245381052 | NPI | - | NPPES |
| 373393901 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME66369 (Florida) | Primary |
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