GLENN R FERNANDES

CRESTVIEW, FL
NPI1841356441
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: FL  APRN11017375)
Enumeration Date2006-12-28
Last Update Date2025-07-15
Business Address
MR. GLENN R FERNANDES APRN, BC
550 REDSTONE AVE W STE 200
CRESTVIEW, FL 32536-6429
Phone number: 850-746-2520
Mailing Address
MR. GLENN R FERNANDES APRN, BC
4205 BELFORT RD STE 4015
JACKSONVILLE, FL 32216-3623
Phone number: 904-450-6063