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1093492209
JUAN CARLOS FERNANDEZ
WESTON, FL
NPI
1093492209
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: FL APRN11028199)
Enumeration Date
2023-06-29
Last Update Date
2023-10-12
Business Address
Mr. JUAN CARLOS FERNANDEZ APRN
1751 BONAVENTURE BLVD # WESTON
WESTON, FL 33326-4039
Phone number: 888-689-8648
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Mailing Address
Mr. JUAN CARLOS FERNANDEZ APRN
370 W 39TH PL
HIALEAH, FL 33012-4340
Phone number: 305-322-8143
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