Individual
FERNANDO MIGUEL FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
14540 OLD SAINT AUGUSTINE RD STE 2391, JACKSONVILLE, FL 32258
(904) 268-5300
(904) 268-5040
Mailing address
PO BOX 16568, JACKSONVILLE, FL 32245-6568
(904) 472-2300
(904) 472-2330
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
OS7630
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254722800
—
FL
Enumeration date
03/31/2006
Last updated
05/31/2018
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