Individual
CARLOS ALBERTO FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1906 JOHN YOUNG PKWY, KISSIMMEE, FL 34741
(407) 910-2941
Mailing address
472 DOVE DR, KISSIMMEE, FL 34759-4417
(689) 500-2517
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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