Individual
FERNANDE JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6051 SW 195TH AVE, FORT LAUDERDALE, FL 33332-3399
(786) 267-0607
Mailing address
6051 SW 195TH AVE, FORT LAUDERDALE, FL 33332-3399
(786) 267-0607
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11005151
FL
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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