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Individual

CARLOS MANUEL FERNANDEZ JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
851 TRAFALGAR CT STE 200E, MAITLAND, FL 32751-7420
(888) 339-8727
Mailing address
136 LUMA PL, CASSELBERRY, FL 32707-3299
(786) 765-9053

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9439646
FL

Other

Enumeration date
06/08/2026
Last updated
06/08/2026
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