Individual
JULIAN FERNANDEZ-HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
4730 POINTE O WOODS DR, WESLEY CHAPEL, FL 33543
(609) 694-8227
Mailing address
4730 POINTE O WOODS DR, WESLEY CHAPEL, FL 33543-6939
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F655-420-97-082-0
DRIVER'S LICENSE
FL
Enumeration date
06/27/2018
Last updated
07/09/2020
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