Individual
HEIDY CHANNEL FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL ASSISTANT
Contact information
Practice address
1440 ROYAL PALM BEACH BLVD STE A, ROYAL PALM BEACH, FL 33411-1608
(561) 784-4481
(561) 784-4496
Mailing address
1440 ROYAL PALM BEACH BLVD STE A, ROYAL PALM BEACH, FL 33411-1608
(561) 784-4481
(561) 784-4496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9113973
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/12/2019
Last updated
07/15/2025
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