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Search › Florida › 103TC1900X

Mary Jo Fernandez, PHD

NPI 1932139425 · on the registry since 2006 · sole proprietor

Practice

Address
1135 Nw 23rd Ave
Suite G
Gainesville, FL 32609
Phone
(781) 710-6539
Organisation at this address
Innovexlab
Brooks Behavioral Llc
Brooks Behavioral Llc
Michael Mclean And Friends
Otter & Trout Trading Co Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
103TC1900X
103TC1900X
Also registered as
103T00000X
Licence states on file
MA, FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida