Individual
FERNANDA R PEREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
300 E HOSPITAL RD, FORT EISENHOWER, GA 30905
(706) 787-7155
Mailing address
12712 AQUAMARINE AVE, BRADENTON, FL 34211-1200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6370
FL
Other
Enumeration date
10/24/2023
Last updated
04/03/2024
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