Doctor Name: | ARMANDO FERNANDEZ |
NPI Number: | 1023162740 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | PA0002965 |
Business Practice Address: | 303 N Clyde Morris Blvd Daytona Beach, FL - 321142709 |
Business Phone Number: | 3862544000 |
Business Fax Number: | |
Mailing Address: | 303 N Clyde Morris Blvd, DAYTONA BEACH |
State: | FL |
Postal Code: | 321142709 |
Phone Number: | 3862544000 |
Fax Number: | |
NPI Enumeration Date: | 01/22/2007 |
NPI Last Update Date: | 08/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA0002965 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |