Most Relevant Information
Provider Data
| NPI Number: | 1003542366 |
| Provider Name: | AXIS MORALES FERNANDEZ IMG, MSN, FNP - BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN11021102 |
Most Important Dates
| Enumeration Date: | 07/28/2022 |
| Last Updated: | 07/28/2022 |
Provider Practice Location
9250 NW 25TH ST
DORAL
FL
331721503
Practice Location Phone/Fax
| Phone: | 7865974951 |
| Fax: |
Provider Mailing Location
14172 SW 150TH AVE
MIAMI
FL
331965602
Provider Mailing Phone/Fax
| Phone: | 7865974951 |
| Fax: |