Individual
IVAN FRANCISCO FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CBHCM
Contact information
Practice address
9900 STIRLING RD STE 103, HOLLYWOOD, FL 33024-8073
(954) 300-2921
(954) 901-2815
Mailing address
1907 SCOTT ST APT 2, HOLLYWOOD, FL 33020-2400
(786) 710-6905
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
FL
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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