Individual
FERNANDO FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
97 KASHMIR TRL, PALM COAST, FL 32164-5655
(423) 462-1411
Mailing address
97 KASHMIR TRL, PALM COAST, FL 32164-5655
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
103878
FL
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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