Individual
JESSICA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
624 SE 6TH ST, FORT LAUDERDALE, FL 33301-3407
(954) 826-0926
Mailing address
624 SE 6TH ST, FORT LAUDERDALE, FL 33301-3407
(954) 262-1250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9116598
FL
Other
Enumeration date
01/04/2021
Last updated
08/29/2024
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