Individual
JULIO FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3909 NE 163RD ST STE 303, NORTH MIAMI BEACH, FL 33160-4126
(305) 871-3601
Mailing address
1041 NW 192ND AVE, PEMBROKE PINES, FL 33029-2922
(786) 201-8374
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
20074
FL
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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