Individual
TIMOTHY JASON FELICIANO FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 HEALTHCARE WAY UNIT 103, NORTH VENICE, FL 34275-3670
(941) 261-0160
(941) 261-0165
Mailing address
PO BOX 947407, ATLANTA, GA 30394-7407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
83790
GA
207RC0000X
Cardiovascular Disease Physician
83790
GA
207RC0000X
Cardiovascular Disease Physician
Primary
ME172792
FL
Other
Enumeration date
03/20/2017
Last updated
03/12/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us