ULISES D FERNANDEZ MIRO

PORT ST LUCIE, FL
NPI1184670333
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: FL  ME0076116)
Enumeration Date2006-05-26
Last Update Date2011-06-08
Business Address
-- ULISES D FERNANDEZ MIRO MD
1874 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952-5545
Phone number: 772-337-7676
Mailing Address
-- ULISES D FERNANDEZ MIRO MD
1149 SAN MICHELE WAY
PALM BEACH GARDENS, FL 33418-6704
Phone number: