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Individual
MR. GLENN R FERNANDES
Active
Individual
MR. GLENN R FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11017375
FL
Other
Enumeration date
12/28/2006
Last updated
07/15/2025
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