Individual
MRS. ENYA FERNANDEZ PUDPUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7734 WATERMARK LN, JACKSONVILLE, FL 32256-4111
(904) 891-9932
Mailing address
7734 WATERMARK LN, JACKSONVILLE, FL 32256-4111
(904) 891-9932
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT12371
FL
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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