Individual
JOHANS FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C.
Contact information
Practice address
1625 S KIRKMAN RD APT 9204, ORLANDO, FL 32811-2579
(407) 755-9495
(407) 250-8945
Mailing address
PO BOX 811, WINDERMERE, FL 34786-0811
(407) 755-9495
(407) 395-2587
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
15-763
FL
Other
Enumeration date
10/07/2016
Last updated
04/07/2022
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