Organization
LUIS FERNANDEZ, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS FELIPE FERNANDEZ MD (PROPRIETOR)
(941) 764-7999
Entity
Organization
Contact information
Practice address
2625 TAMIAMI TRL, SUITE 5, PORT CHARLOTTE, FL 33952-6403
(941) 661-3434
(941) 764-7039
Mailing address
2625 TAMIAMI TRL, SUITE 5, PORT CHARLOTTE, FL 33952-6403
(941) 661-3434
(941) 764-7039
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME56435
FL
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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