Individual
MR. JULIO FERNANDEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3020 LAKELAND HIGHLANDS RD, LAKELAND, FL 33803-4338
(863) 686-3189
(863) 682-1348
Mailing address
3020 LAKELAND HIGHLANDS RD, LAKELAND, FL 33803-4338
(863) 686-3189
(863) 682-1348
Taxonomy
Speciality
Code
Description
License number
State
2355A2700X
Audiology Assistant
Primary
AI140
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085626600
—
FL
Enumeration date
05/21/2012
Last updated
06/08/2012
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