Dr. Juan Calos Fernandez Sr., ARNP-FMP-BC, MSN
Nurse Practitioner, Family in Miami, FL. Individual provider (NPI-1).
NPI number1336748904
StatusActive
Last updated in NPPESSep 20, 2024
Details
- NPI
- 1336748904
- Entity type
- Individual (NPI-1)
- Name
- Dr. Juan Calos Fernandez Sr.
- Credential
- ARNP-FMP-BC, MSN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 23, 2020
- Certification date
- Sep 20, 2024
- Last updated
- Sep 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 11004273 | FL | Yes |
Practice location
16201 Sw 95th AveMiami, FL 33157-3459
Phone 305-946-1605 · Fax 888-720-2691
Mailing address
860 Nw 42nd Ave Fl 5Miami, FL 33126-4172
Phone 305-504-7885
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