Izquierdo, Fabiana Helena

Izquierdo, Fabiana Helena is an individual health care provider with primary practice located at 1610 Ne Miami Gardens Dr , N Miami Beach FL 33179. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Izquierdo, Fabiana Helena can be contacted via phone (305) 940-6016.

Contact Information

Primary practice address
1610 Ne Miami Gardens Dr N Miami Beach FL 33179
Phone: (305) 940-6016
Fax: (305) 940-6167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME97940 Florida

Profile Details

NPI number 1417162488
LBN Legal business name Izquierdo, Fabiana Helena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2007
Last updated Jun 20th, 2018 - about 8 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 1417162488 NPPES
Florida MEDICAID 023318500

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