Individual
DR. RAUL E. FERNANDEZ-CRESPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 TAMPA GENERAL CIRCLE, STC6, DEPARTMENT OF UROLOGY, TAMPA, FL 33606
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME140079
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103349700
—
FL
01
—
UU7UJ
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/28/2013
Last updated
03/31/2021
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