Organization
MICHEL FERNANDEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEL FERNANDEZ MD (OWNER)
(817) 907-9550
Entity
Organization
Contact information
Practice address
924 FRUIT COVE RD, ST JOHNS, FL 32259-3149
(817) 907-9550
Mailing address
924 FRUIT COVE RD, ST JOHNS, FL 32259-3149
(817) 907-9550
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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