Individual
JOHN R. FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 SE HOSPITAL AVE, STUART, FL 34994-2338
(772) 223-5945
Mailing address
3644 SE FAIRWAY E, STUART, FL 34997-6116
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME65400
FL
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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