Organization
DAVID F FERNANDEZ, MD, PA
Active
Other names
LAKESIDE INTERNAL MEDICINE ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI MARTINEZ (OFFICE MANAGER)
(352) 343-0677
Entity
Organization
Contact information
Practice address
1879 NIGHTINGALE LN, SUITE B1, TAVARES, FL 32778-4363
(352) 343-5722
(352) 343-7506
Mailing address
1879 NIGHTINGALE LN, SUITE B1, TAVARES, FL 32778-4363
(352) 343-5722
(352) 343-7506
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45546
BLUE CROSS BLUE SHEILD FL
FL
Enumeration date
12/09/2005
Last updated
06/23/2010
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