NPI 1093164568

Juan Sergio Fernandes, SAC

Practitioner Surgical Assistant Weston, FL

Practice location

Address: 1608 Banyan Way, Weston, FL 33327-1619
Phone: (954) 348-1874

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 16-323 (FL)

Other Specialist/Technologist, Other providers in Florida →

Registry record

NPI: 1093164568
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2016
Record last updated: 6 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.