Individual
FIDEL FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5801 S DIXIE HWY STE B, WEST PALM BEACH, FL 33405-3651
(786) 447-6031
Mailing address
5801 S DIXIE HWY STE B, WEST PALM BEACH, FL 33405-3651
(786) 447-6031
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
80988
FL
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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