Individual
JORGE LUIS FERNANDEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
556 HIALEAH DR, HIALEAH, FL 33010-5349
(305) 603-9859
Mailing address
556 HIALEAH DR, HIALEAH, FL 33010-5349
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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