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Individual

ERNESTO JESUS FERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.M.

Contact information

Practice address
2844-2 PROCTOR ROAD SUITE 2, SARASOTA, FL 34231
(941) 923-0283
Mailing address
4411 BEE RIDGE RD # 441, SARASOTA, FL 34233-2514
(941) 923-0283

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3062
FL
171100000X
Acupuncturist
Primary
1445
FL

Other

Enumeration date
09/13/2010
Last updated
09/13/2010
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