Fernandez Blay, Roberto C

Fernandez Blay, Roberto C is an individual health care provider with primary practice located at 9999 Sheridan St Ste 120 , Hollywood FL 33024-3086. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fernandez Blay, Roberto C can be contacted via phone (954) 890-2524.

Contact Information

Primary practice address
9999 Sheridan St Ste 120 Hollywood FL 33024-3086
Phone: (954) 890-2524
Fax: (954) 890-2523
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME93447 Florida

Profile Details

NPI number 1205821352
LBN Legal business name Fernandez Blay, Roberto C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Dec 13th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205821352 NPPES
Florida MEDICAID 274947500

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