Organization
JENARO FERNANDEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENARO FELIX FERNANDEZ M.D. (PRESIDENT)
(407) 804-9551
Entity
Organization
Contact information
Practice address
1401 LANGHAM TER, HEATHROW, FL 32746-1966
(407) 804-9551
Mailing address
1401 LANGHAM TER, HEATHROW, FL 32746-1966
(407) 804-9551
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0053191
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME0053191
MEDICAL LICENSE
FL
Enumeration date
06/10/2007
Last updated
08/22/2020
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