Individual
MARLENE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS
Contact information
Practice address
92 W MILLER ST, ORLANDO, FL 32806-2032
(407) 649-9111
Mailing address
92 W MILLER ST FL 7, ORLANDO, FL 32806-2032
(321) 842-6671
(321) 843-6447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9111302
FL
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
PA9111302
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101035100
—
FL
Enumeration date
01/25/2018
Last updated
10/02/2025
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