Individual
DR. JACQUELINE SOUZA FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
508 JEFFORDS ST STE C, CLEARWATER, FL 33756-3839
(727) 413-5061
(727) 447-0314
Mailing address
PO BOX 25317, TAMPA, FL 33622-5317
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME123990
FL
Other
Enumeration date
03/23/2006
Last updated
11/07/2017
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