Miviala Lago Fernandez
NPI #1497207021 in Ft Lauderdale, Florida
Provider Information
- NPI Number
- 1497207021
- Entity Type
- Individual
- Name
- Miviala Lago Fernandez
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Oct 31, 2016
- Last Updated
- Mar 7, 2025
Practice Location
- Address
- 5310 SW 26TH TER
- City
- Ft Lauderdale
- State
- Florida
- ZIP Code
- 33312-7461
- Phone
- (786) 857-3777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant |
| Behavior Technician |
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