Doctor Name: | ROBERTO FOJO |
NPI Number: | 1427027291 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., M.B.A. |
License Number: | ME35393 |
Business Practice Address: | 7100 W 20th Ave Suite# 304 Hialeah, FL - 330161897 |
Business Phone Number: | 3055568353 |
Business Fax Number: | 3058272415 |
Mailing Address: | 15600 Nw 67th Ave, Ste 105 MIAMI LAKES |
State: | FL |
Postal Code: | 330142175 |
Phone Number: | 3055568353 |
Fax Number: | 3058272415 |
NPI Enumeration Date: | 03/15/2006 |
NPI Last Update Date: | 04/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME35393 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |