Fernandez, Mario Ivan

Fernandez, Mario Ivan is an sole proprietor health care provider with primary practice located at 5787A Nw 151St St , Miami Lakes FL 33014-2490. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Fernandez, Mario Ivan can be contacted via phone (305) 817-8799.

Contact Information

Primary practice address
5787A Nw 151St St Miami Lakes FL 33014-2490
Phone: (305) 817-8799
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 26053 Florida

Profile Details

NPI number 1437615333
LBN Legal business name Fernandez, Mario Ivan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2019
Last updated Feb 15th, 2019 - about 7 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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