Andre Lage Fernandes
Andre Lage Fernandes is a Student in an Organized Health Care Education/Training Program in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2017
Practice location Address checks out
12901 Bruce B Downs BlvdTampa, FL 33612-4742
Phone: (813) 974-5699
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence PSI33186 (FL) |
|---|
Record details
| NPI number | 1669981726 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 21, 2017 |
| Last updated in NPPES | September 21, 2017 |
| Mailing address | 17110 Carrington Park Dr Apt 824, Tampa, FL 33647-2632 |
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