Fernandez, Fernando Miguel

Fernandez, Fernando Miguel is an individual health care provider with primary practice located at 14540 Old Saint Augustine Rd Ste 2391 , Jacksonville FL 32258. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Fernandez, Fernando Miguel can be contacted via phone (904) 268-5300.

Contact Information

Primary practice address
14540 Old Saint Augustine Rd Ste 2391 Jacksonville FL 32258
Fax: (904) 268-5040
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X OS7630 Florida

Profile Details

NPI number 1023079670
LBN Legal business name Fernandez, Fernando Miguel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated May 31st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023079670 NPPES
Florida MEDICAID 254722800

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