Fernandez, Carmen C

Fernandez, Carmen C is an individual health care provider with primary practice located at 5000 University Dr 3Rd Floor, Coral Gables FL 33146-2008. She recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as her primary health care specialty. Fernandez, Carmen C can be contacted via phone (305) 569-0002.

Contact Information

Primary practice address
5000 University Dr 3Rd Floor Coral Gables FL 33146-2008
Phone: (305) 569-0002
Fax: (305) 569-0005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X ME 43067 Florida

Profile Details

NPI number 1457319881
LBN Legal business name Fernandez, Carmen C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Dec 21st, 2012 - about 13 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 1457319881 NPPES
Florida MEDICAID 047928400
Florida Other P00120067
Florida Other 96497
Florida Other 650237193

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