Fernandez, Idania Melo
Fernandez, Idania Melo is an individual health care provider with primary practice located at 3160 W 76Th St , Hialeah FL 33018-3886. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Fernandez, Idania Melo can be contacted via phone (305) 826-8353.Contact Information
Primary practice address
3160 W 76Th St
Hialeah FL 33018-3886
Phone: (305) 826-8353
Fax: (305) 826-8012
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ME82719 | Florida |
Profile Details
NPI number | 1134121841 |
---|---|
LBN Legal business name | Fernandez, Idania Melo |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 12th, 2005 |
Last updated | Nov 12th, 2009 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134121841 | NPPES |
Florida | MEDICAID | 262380300 |
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