SAMUEL J. FERN

JACKSONVILLE BEACH, FL
NPI1437136074
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  OS6092)
Enumeration Date2005-12-26
Last Update Date2015-11-25
Business Address
-- SAMUEL J. FERN DO
900 BEACH BLVD CREDENTIALING DEPARTMENT
JACKSONVILLE BEACH, FL 32250-4368
Phone number: 904-249-0335
Mailing Address
-- SAMUEL J. FERN DO
PO BOX 44004
JACKSONVILLE, FL 32231-4004
Phone number: 904-202-1032
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