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1437615333
MARIO IVAN FERNANDEZ
MIAMI LAKES, FL
NPI
1437615333
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL 26053)
Enumeration Date
2019-02-15
Last Update Date
2019-02-15
Business Address
MARIO IVAN FERNANDEZ
5787A NW 151ST ST
MIAMI LAKES, FL 33014-2490
Phone number: 305-817-8799
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Mailing Address
MARIO IVAN FERNANDEZ
740 82ND ST APT 2
MIAMI BEACH, FL 33141-1376
Phone number:
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