Individual
DR. NIDIA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.M
Contact information
Practice address
449 CENTRAL AVE, SUITE 202, ST PETERSBURG, FL 33701-3863
(813) 760-0055
Mailing address
449 CENTRAL AVE, SUITE 202, ST PETERSBURG, FL 33701-3863
(813) 760-0055
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP2527
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C00NG.
FLORIDA BLUE
FL
Enumeration date
12/14/2012
Last updated
07/28/2016
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