Provider Demographics
NPI:1316419005
Name:FERNANDEZ, FRANCHESKA
Entity type:Individual
Prefix:
First Name:FRANCHESKA
Middle Name:
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4514 SW BRADBURY ST
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-6061
Mailing Address - Country:US
Mailing Address - Phone:786-202-0298
Mailing Address - Fax:
Practice Address - Street 1:4514 SW BRADBURY ST
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-6061
Practice Address - Country:US
Practice Address - Phone:786-202-0298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-19
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health