Provider / Organization | NPI | Date Certified |
---|---|---|
JOSE OMAR FERNANDEZ | 1295333607 | 2020-10-18 |
Jose Omar Fernandez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1295333607. Registration indicates Jose Omar Fernandez is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
Entity Type | Individual |
Provider Name | Jose Omar Fernandez DPT |
Practice Office Address | 2525 SW 75TH AVE MIAMI, FL US |
Practice Office Telephone | 3052626800 |
Mailing Address | 2525 SW 75TH AVE MIAMI, FL 331552800 US |
Code | Practice | License No State |
---|---|---|
225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | PT35720
FL |