Fernandez, Raymond
Fernandez, Raymond is an individual health care provider with primary practice located at 2508 W Virginia Ave Suite B, Tampa FL 33607-6326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Fernandez, Raymond can be contacted via phone (813) 878-2191.Contact Information
Primary practice address
2508 W Virginia Ave Suite B
Tampa FL 33607-6326
Phone: (813) 878-2191
Fax: (813) 872-2659
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | ME14404 | Florida |
Profile Details
| NPI number | 1508895905 |
|---|---|
| LBN Legal business name | Fernandez, Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Feb 3rd, 2010 - about 14 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 | 1508895905 | NPPES |
| Florida | MEDICAID | 058904700 | |
| Florida | Other | 29947X |
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