Individual
MICHEL FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 372-5068
Mailing address
100 BROADBRANCH WAY, SAINT JOHNS, FL 32259-7212
(817) 907-9550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N2072
TX
207RP1001X
Pulmonary Disease Physician
Primary
ME127196
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197425501
—
TX
01
—
8X9566
BCBS
TX
Enumeration date
07/15/2008
Last updated
11/13/2018
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