Fernandez-Grela, Mario J
Fernandez-Grela, Mario J is an individual health care provider with primary practice located at 700 Doctors Ct , Leesburg FL 34748-7314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Fernandez-Grela, Mario J can be contacted via phone (352) 787-9838.Contact Information
Primary practice address
700 Doctors Ct
Leesburg FL 34748-7314
Phone: (352) 787-9838
Fax: (352) 787-8705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ME94319 | Florida |
Profile Details
| NPI number | 1275680977 |
|---|---|
| LBN Legal business name | Fernandez-Grela, Mario J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Oct 27th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275680977 | NPPES |
| Florida | Other | 43176 | BCBS FL & HEALTH OPTIONS |
| Florida | MEDICAID | 274916500 | BCBS FL & HEALTH OPTIONS |
Popular Providers
-
Pham, Francis T
600 E Dixie Ave , Leesburg FL 34748-5925 -
Brooks, Jeffrey C
2900 Lamb Cir Ste 340, Christiansburg VA 24073-6344 -
Giovannelli, Richard
600 E Dixie Ave , Leesburg FL 34748-5925 -
Peck, Randall J
1 Taylor Ave , Pearisburg VA 24134-1932 -
Dickinson, William A
200 Hawkins Dr , Iowa City IA 52242-1009 -
Vigna, Lucia
24 Stevens St , Norwalk CT 06850-3852 -
Tsyganov, Igor V
2401 Bay Ave , Ocean City NJ 08226-2456 -
Jivitski, Andrej
700 Doctors Ct , Leesburg FL 34748-7314