Provider Demographics
NPI:1902027113
Name:HEITOR-BEHDAD, FERNANDA (MD)
Entity Type:Individual
Prefix:DR
First Name:FERNANDA
Middle Name:
Last Name:HEITOR-BEHDAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:FERNANDA
Other - Middle Name:
Other - Last Name:HEITOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3250 MERIDIAN PKWY
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3502
Mailing Address - Country:US
Mailing Address - Phone:954-659-5867
Mailing Address - Fax:954-659-5354
Practice Address - Street 1:3250 MERIDIAN PKWY
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3502
Practice Address - Country:US
Practice Address - Phone:954-659-5867
Practice Address - Fax:954-659-5354
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME162281207RG0300X
MI4301100811207R00000X, 207RG0300X
IL036136207207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine