Individual
ROXANNE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1924 DAIRY RD, WEST MELBOURNE, FL 32904-4046
(929) 434-9454
Mailing address
4742 CREW CIR APT 5, MELBOURNE, FL 32904-8449
(929) 434-9454
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
11/23/2024
Last updated
11/23/2024
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