Individual
JACINTO FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6888 SW 90TH ST, GAINESVILLE, FL 32608-9238
(404) 273-1763
Mailing address
6888 SW 90TH ST, GAINESVILLE, FL 32608-9238
(404) 273-1763
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME146990
FL
209800000X
Legal Medicine (M.D./D.O.) Physician
ME146990
FL
Other
Enumeration date
04/20/2019
Last updated
12/09/2024
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