Individual
LISA RENEE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.T.
Contact information
Practice address
5702 SW 55TH AVE, DAVIE, FL 33314-7472
(954) 552-9730
Mailing address
5702 SW 55TH AVE, DAVIE, FL 33314-7472
(954) 552-9730
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
Primary
TT 8419
FL
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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