Individual
MR. CARLOS HUMBERTO FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1606 TENNESSEE AVE., LYNN HAVEN, FL 32444
(850) 248-7925
(850) 248-7928
Mailing address
P.O. BOX 2052, LYNN HAVEN, FL 32444
(850) 248-7925
(850) 248-7928
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 3314
FL
Other
Enumeration date
02/07/2007
Last updated
05/14/2014
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