JOSE TEODORO FERNANDEZ

PENSACOLA, FL
NPI1851880512
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2018-05-08
Last Update Date2025-06-13
Business Address
JOSE TEODORO FERNANDEZ
220 HOVEY RD
PENSACOLA, FL 32508
Phone number: 904-887-9988
Mailing Address
JOSE TEODORO FERNANDEZ
220 HOVEY RD NMOTC ATTN: CREDENTIALS OFFICE
PENSACOLA, FL 32508
Phone number: