Individual
JUAN SERGIO FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
1608 BANYAN WAY, WESTON, FL 33327-1619
(954) 348-1874
Mailing address
1608 BANYAN WAY, WESTON, FL 33327-1619
(954) 348-1874
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
16-323
FL
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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