Individual
DR. ROSEMARIE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-6340
(904) 244-4508
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 244-6340
(904) 244-8827
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301081212
MI
207P00000X
Emergency Medicine Physician
Primary
ME134168
FL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301081212
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104580750
—
MI
05
—
104580769
—
MI
01
—
RF081212
BC/BS OF MI
MI
Enumeration date
03/24/2006
Last updated
12/04/2017
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