Individual
ILEANA FERNANDEZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN, BSN, CCRP
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, CARDIOLOGY 111-A, TAMPA, FL 33612-4745
(813) 972-7669
(813) 978-5933
Mailing address
22626 NEFF CT, LAND O LAKES, FL 34639-6446
(813) 996-7635
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN9217100
FL
Other
Enumeration date
04/20/2006
Last updated
07/08/2007
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