Individual
JOSE TEODORO FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 HOVEY RD, PENSACOLA, FL 32508
(904) 887-9988
Mailing address
220 HOVEY RD, NMOTC ATTN: CREDENTIALS OFFICE, PENSACOLA, FL 32508
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/08/2018
Last updated
06/13/2025
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