# DR ANTHONY A FERNANDEZ MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174828313
- **Authorized official:** DR. ANTHONY ALVARO FERNANDEZ M.D. (PRESIDENT)
- **Authorized official phone:** (813) 876-0502

## Contact information

- **Practice address:** 4600 N HABANA AVE, STE 16, TAMPA, FL 33614-7112
- **Practice address phone:** (813) 876-0502
- **Practice address fax:** (813) 872-6503
- **Mailing address:** 4600 N HABANA AVE, STE 16, TAMPA, FL 33614-7112
- **Mailing address phone:** (813) 876-0502
- **Mailing address fax:** (813) 872-6503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME0008628 | FL | Yes |

## Other

- **Enumeration date:** 01/19/2011
- **Last updated:** 01/19/2011