Individual
DR. ALFREDO FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6101 WEBB RD, SUITE # 101, TAMPA, FL 33615-2872
(813) 496-9663
(813) 496-9921
Mailing address
6101 WEBB RD, SUITE # 101, TAMPA, FL 33615-2872
(813) 496-9663
(813) 496-9921
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME44443
FL
2086S0122X
Plastic and Reconstructive Surgery Physician
ME44443
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043586400
—
FL
01
—
30920
BCBS
FL
Enumeration date
08/18/2006
Last updated
10/02/2015
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