JASON C FERNANDES
Medical Practice at Providence Ln, Palm Coast, FL

License number
Florida 532608
Issued Date
Sep 15, 2010
Effective Date
Sep 23, 2016
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address 2
86 Providence Ln, Palm Coast, FL 32164
400 Health Park Blvd, Saint Augustine, FL 32086
Phone
(386) 503-8825