Individual
JORGE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CBHCMS,CBHCM
Contact information
Practice address
15115 SW 31ST TER, MIAMI, FL 33185-4904
(305) 812-4807
Mailing address
15115 SW 31ST TER, MIAMI, FL 33185-4904
(305) 812-4807
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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