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Individual

JORGE CARDENAS FERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CBHCM

Contact information

Practice address
13335 SW 124TH ST STE 115, MIAMI, FL 33186-7513
(305) 964-5381
Mailing address
24901 SW 130TH AVE APT 304, HOMESTEAD, FL 33032-4103
(305) 964-5381

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/13/2021
Last updated
05/13/2021
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