Individual
DR. JOEL SEBASTIAN FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW 16TH AVE, UNIVERSITY OF FLORIDA, GAINESVILLE, FL 32610-0256
(352) 392-8013
Mailing address
PO BOX 13833, PHILADELPHIA, PA 19101-3833
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME117617
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011979300
—
FL
Enumeration date
06/16/2010
Last updated
07/25/2014
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