Provider Information for 1659880060
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Dr. LAURA FERNANDEZ Psy.D
Sex: Female
NPI: 1659880060
Last Updated: 2022-07-21
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1659880060 | ||||||||
| Enumeration Date | 2017-09-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3 SHIRCLIFF WAY STE 601 JACKSONVILLE, FL 32204-4776 United States Phone: 786-413-0336 | Fax: | ||||||||
| Primary Practice Address | 3 SHIRCLIFF WAY STE 601 JACKSONVILLE, FL 32204-4776 United States Phone: 786-413-0336 | Fax: | ||||||||
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