Individual
MR. JORGE LUIS FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA 101050
Contact information
Practice address
10290 SAND CAY DR, WINTER GARDEN, FL 34787-4286
(786) 781-0756
Mailing address
10290 SAND CAY DR, WINTER GARDEN, FL 34787-4286
(786) 781-0756
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101050
FL
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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