Organization
INVERNESS SURGICAL ASSOCIATION P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC E FERNANDEZ M.D. (OFFICER/SECRETARY)
(352) 726-3646
Entity
Organization
Contact information
Practice address
403 W HIGHLAND BLVD, INVERNESS, FL 34452-4717
(352) 726-3646
(352) 726-0079
Mailing address
403 W HIGHLAND BLVD, INVERNESS, FL 34452-4717
(352) 726-3646
(352) 726-0079
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
80110207817
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258062400
—
FL
01
—
38905
BCBS GROUP
FL
Enumeration date
03/07/2006
Last updated
01/25/2011
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