| Organization Name: | DR MANUEL A FERNANDEZ, PA |
| NPI Number: | 1295195725 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MANUEL A FERNANDEZ (PRESIDENT/OWNER) |
| Mailing Address: | 12268 Tamiami Trl E Suite 301 Naples |
| State: | FL US |
| Postal Code: | 341137946 |
| Phone Number: | 2392285138 |
| Fax Number: | 2392285245 |
| NPI Enumeration Date: | 02/25/2016 |
| NPI Last Update Date: | 02/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME17907 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |