Individual
BLANCA MONICA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3771 TAMPA RD, OLDSMAR, FL 34677-3004
(866) 389-2727
Mailing address
4790 STONEBRIAR DR, OLDSMAR, FL 34677-4862
(813) 625-4497
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9277226
FL
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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