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
Fax: (305) 826-8012
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134121841 NPPES
Florida MEDICAID 262380300

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