Individual
GEORGE LUIS FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
16401 NW 37TH AVE, MIAMI GARDENS, FL 33054-6313
(305) 628-6533
Mailing address
16401 NW 37TH AVE, MIAMI GARDENS, FL 33054-6313
(305) 628-6533
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3112
FL
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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