| Organization Name: | MARTA R FERNANDEZ MD P A |
| NPI Number: | 1780880203 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARTA R FERNANDEZ (PRESIDENT) |
| Mailing Address: | 2500 Del Prado Blvd S Cape Coral |
| State: | FL US |
| Postal Code: | 339045750 |
| Phone Number: | 2397721194 |
| Fax Number: | 2397721196 |
| NPI Enumeration Date: | 06/22/2007 |
| NPI Last Update Date: | 10/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME90692 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |