Individual
FELIX L FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1021 COOLIDGE ST STE 2, GREENEVILLE, TN 37743-4672
(423) 636-2700
(423) 232-8573
Mailing address
PO BOX 632476, CINCINNATI, OH 45263-2476
(423) 636-2700
(423) 232-8573
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2692
TN
207Q00000X
Family Medicine Physician
OS8556
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266233700
—
FL
01
—
6023306
BCBS
TN
05
—
GROUP: Q007322
—
TN
05
—
Q006673
—
TN
Enumeration date
06/06/2006
Last updated
02/18/2025
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