Doctor Name: | MRS. MARIA ELENA FERNANDEZ |
NPI Number: | 1962699207 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | ME28447 |
Business Practice Address: | 807 South Church Avenue Tampa, FL - 336094401 |
Business Phone Number: | 8132893162 |
Business Fax Number: | |
Mailing Address: | 807 South Church Avenue, TAMPA |
State: | FL |
Postal Code: | 336094401 |
Phone Number: | 8132893162 |
Fax Number: | |
NPI Enumeration Date: | 10/01/2007 |
NPI Last Update Date: | 10/01/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME28447 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |