Fernandez, Maruja

Fernandez, Maruja is an individual health care provider with primary practice located at 515 S Kings Ave Ste 3100 , Brandon FL 33511-6060. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Fernandez, Maruja can be contacted via phone (813) 681-9171.

Contact Information

Primary practice address
515 S Kings Ave Ste 3100 Brandon FL 33511-6060
Phone: (813) 681-9171
Fax: (813) 681-7580
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME0078426 Florida

Profile Details

NPI number 1841286895
LBN Legal business name Fernandez, Maruja
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jun 23rd, 2023 - about 2 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 1841286895 NPPES
Florida MEDICAID 258996600

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