Garcia Fernandez, Jesus Manuel

Garcia Fernandez, Jesus Manuel is an individual health care provider with primary practice located at 2775 Lake Alfred Rd , Winter Haven FL 33881-1432. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Garcia Fernandez, Jesus Manuel can be contacted via phone (863) 291-4590.

Contact Information

Primary practice address
2775 Lake Alfred Rd Winter Haven FL 33881-1432
Phone: (863) 291-4590
Fax: (863) 508-6503
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11009754 Florida

Profile Details

NPI number 1538667936
LBN Legal business name Garcia Fernandez, Jesus Manuel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2018
Last updated Feb 14th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538667936 NPPES
Florida MEDICAID 1043635972

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