Organization
DR ANTHONY A FERNANDEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY ALVARO FERNANDEZ M.D. (PRESIDENT)
(813) 876-0502
Entity
Organization
Contact information
Practice address
4600 N HABANA AVE, STE 16, TAMPA, FL 33614-7112
(813) 876-0502
(813) 872-6503
Mailing address
4600 N HABANA AVE, STE 16, TAMPA, FL 33614-7112
(813) 876-0502
(813) 872-6503
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME0008628
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043154100
—
FL
Enumeration date
01/19/2011
Last updated
01/19/2011
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