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Individual

KRISTIN P. FERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
14534 OLD SAINT AUGUSTINE RD STE 3430, JACKSONVILLE, FL 32258-2645
(904) 268-5300
(904) 268-5040
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
OS7697
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
254723600
FL
Enumeration date
03/28/2006
Last updated
06/23/2023
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