Individual
ALLISON MANUELA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 5TH ST S, ST PETERSBURG, FL 33701-4804
(727) 767-8480
Mailing address
175 1ST ST S APT 2706, ST PETERSBURG, FL 33701-4520
(917) 754-0050
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME114086
FL
207LP3000X
Pediatric Anesthesiology Physician
Primary
ME114086
FL
Other
Enumeration date
03/09/2009
Last updated
11/18/2021
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