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Individual

MRS. EMMA ROY FERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1717 BLANDING BLVD, STE 104, JACKSONVILLE, FL 32210
(904) 381-9205
(904) 381-9208
Mailing address
9961 WATERMARK LN W, JACKSONVILLE, FL 32256
(904) 887-8000

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10634
FL

Other

Enumeration date
09/02/2006
Last updated
07/08/2007
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