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Individual
KYLE FERNANDEZ
Active
Individual
KYLE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9554
MA
363AM0700X
Medical Physician Assistant
PA9120161
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127271600
—
FL
01
—
HJU2H
BCBS
FL
Enumeration date
08/03/2023
Last updated
12/07/2025
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