Individual
DR. DIELLE C FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD,BCPS,FASCP
Contact information
Practice address
1601 SW ARCHER RD, VA MEDICAL CENTER (119), GAINESVILLE, FL 32608-1135
(352) 376-1611
(352) 271-4563
Mailing address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
(352) 271-4563
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PS34830
FL
Other
Enumeration date
10/04/2005
Last updated
07/08/2007
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