MS. CARMEN MARIA FERNANDEZ (NPI# 1093121089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093121089 |
| Entity Type | Individual |
| Full Name | MS. CARMEN MARIA FERNANDEZ |
| Credential | D.O |
| Practice Address |
13214 Palm Beach Blvd Fort Myers FL 33905-2025 |
| Mailing Address |
3434 Hancock Bridge Pkwy Ste 301 North Fort Myers FL 33903-7099 |
| Practice Telephone | 2394821010 |
| Mailing Telephone | 8778563774 |
| Mailing Fax Number | 2395992612 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2018-01-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
OS12773 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 014864100 | 05 | |
| FLORIDA BLUE | FGU25 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596042 | Carmen Felicia Fernandez | Nutritionist | 8871 Sw 41st St, Miami, FL 33165-5434 | 2020-10-19 |
| 1922638311 | Carmen R Fernandez | Pharmacist | Carretera 187 Km 7.0 Mediania Alta, Loiza, PR 00772 | 2020-01-24 |
| 1619447729 | Carmen S Fernandez | Home Health | 6401 Akron St, Philadelphia, PA 19149-2924 | 2018-12-01 |
| 1386167682 | Carmen Alicia Fernandez | Community/Behavioral Health | 24 Lynde St, Melrose, MA 02176 | 2017-07-19 |
| 1760804249 | Carmen L Fernandez | Social Worker | Extencion Marisol Calle 3, Buzon 106, Arecibo, PUERTO RICO 00612 | 2014-01-17 |
| 1447409339 | Carmen Aracely Fernandez | Dentist | 1811 South Rainbow Blvd, Ste. 202, Las Vegas, NV 89146-0855 | 2008-09-16 |
| 1588600324 | Carmen A Fernandez | Optometrist | B7 Camino Alejandrino, Villa Clementina, Guaynabo, PR 00969-4702 | 2006-06-21 |
| 1740811272 | Carmen Luisa Fernandez | Specialist | 7000 Austin St, Forest Hills, NY 11375-1022 | 2020-02-03 |
| 1710376108 | Carmen Fernandez | Social Worker | 6595 Nw 36th St, Suite 101-d, Virginia Gardens, FL 33166-6979 | 2015-01-22 |
| 1649411661 | Carmen J. Fernandez | Registered Nurse | 3830 W Flagler St, Coral Gables, FL 33134-1604 | 2009-03-21 |
| Street Address |
13214 PALM BEACH BLVD |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33905-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447214374 | Peter Lautenbach | Family Medicine | 13214 Palm Beach Blvd, Fort Myers, FL 33905-2025 | 2006-04-17 |
| 1548797905 | Morag Jean Mccoll Howard | Nurse Practitioner | 13214 Palm Beach Blvd, Fort Myers, FL 33905-2025 | 2017-05-16 |
| 1205385788 | Juan Diaz | Physician Assistant | 13214 Palm Beach Blvd, Fort Myers, FL 33905-2025 | 2016-09-26 |
| 1073984134 | Joni Renee Kellams | Nurse Practitioner | 13214 Palm Beach Blvd, Fort Myers, FL 33905-2025 | 2015-10-15 |
| 1154674158 | Tanya M Miller | Nurse Practitioner | 13214 Palm Beach Blvd, Fort Myers, FL 33905-2025 | 2012-10-16 |
| 1164610366 | Veronica Mills | Physician Assistant | 13214 Palm Beach Blvd, Fort Myers, FL 33905-2025 | 2007-10-12 |
| 1356455273 | Steven D Mitnick | Nurse Practitioner | 13214 Palm Beach Blvd, Fort Myers, FL 33905-2025 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811476211 | Lisa Nicole Campbell | Nurse Practitioner | 2850 Via Campania St, Fort Myers, FL 33905 | 2018-08-07 |
| 1538670260 | Doctorguarin LLC | Clinic/Center | 3143 Antica St, Fort Myers, FL 33905 | 2017-10-20 |
| 1366828931 | Dawn Bradley Arnp Pllc | Nurse Practitioner | 3056 Champion Ring Rd, Ft Myers, FL 33905 | 2015-08-06 |
| 1720480551 | Yohana Pierre Villarroel | Licensed Practical Nurse | 2789 Ortiz Ave., Fort Myers, FL 33905 | 2014-09-24 |
| 1639592090 | Hamprenate Service | Case Manager/Care Coordinator | 2789 Oritz Avenue, Fort Myere, FL 33905 | 2014-01-21 |
| 1255688743 | Ronak B Patel | Pharmacist | 9365 Via Murano Ct, Fort Myers, FL 33905 | 2012-08-14 |
| 1477824852 | Joseph Francis Kusiak | Plastic Surgery | 3320 Shady Bend, Fort Myers, FL 33905 | 2012-01-18 |
| 1336447838 | Vicky Brooks | Nurse Practitioner | 8960 Colonial Center Dr Ste 300, Fort Myers, FL 33905 | 2011-03-08 |
| 1790898666 | Access Medical South, Lc | Durable Medical Equipment & Medical Supplies | 5701 Country Lakes Dr., Suite 20, Ft. Myers, FL 33905 | 2006-08-16 |
| 1780691600 | Arthur Lee Strauss | Social Worker | 6000 South Dixie Hwy, Suite B, West Palm Beach, FL 33905 | 2006-08-02 |
| Find all providers in zip 33905 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093802092 | Eugene Usberghi Jr. | Family Medicine | 14801 Palm Beach Blvd, Suite 401, Fort Myers, FL 33905-2312 | 2006-10-10 |
| 1427548304 | M & H Med Housecalls, LLC | Family Medicine | 13607 Pine Villa Ln, Fort Myers, FL 33912-1617 | 2018-05-16 |
| 1568874667 | Nadezhda Gonzalez | Family Medicine | 9981 S Healthpark Dr, Fort Myers, FL 33908 | 2014-05-22 |
| 1861660649 | Konstantine Konstantine Yankopolus | Family Medicine | 3880 Colonial Blvd, Suite 2, Fort Myers, FL 33966-1062 | 2008-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598105 | Foundations Medical Center Pllc | Family Medicine | 4467 Commons Dr W Ste F-g, Destin, FL 32541-8454 | 2020-11-04 |
| 1831704345 | Vasundhara Kuchibhotla | Family Medicine | 1630 Sw 75th Ter, Gainesville, FL 32607-6604 | 2020-09-11 |
| 1356952170 | Discreet Health Solutions, LLC | Family Medicine | 7124 Pelican Island Dr, Tampa, FL 33634-7463 | 2020-08-14 |
| 1033728019 | Nana Aisha Garba | Family Medicine | 11200 Sw 8th St Ahc2 Rm 589b, Miami, FL 33199-0001 | 2020-07-27 |
| 1043838451 | Lisa M Parker | Family Medicine | 7955 Bay St Ste 2, Sebastian, FL 32958-3282 | 2020-07-13 |
| 1699390336 | Rosenie B Jasmin | Family Medicine | Dove Medical Centers, LLC, 2901 West Oakland Park Blvd Ste A4-5, Oakland Park, FL 33311 | 2020-06-09 |
| 1588287239 | Sarai L Gonzalez | Family Medicine | 16182 Nw 21st St, Pembroke Pines, FL 33028-1255 | 2020-05-28 |
| 1184247033 | Wellness Solutions 2020 LLC | Family Medicine | 2300 N Commerce Pkwy Ste 321, Weston, FL 33326-3257 | 2020-05-27 |
| 1780207910 | Homeville Medical Care | Family Medicine | 11040 Nw 18th Ct, Plantation, FL 33322-3407 | 2020-05-21 |
| 1942829536 | Health Medical Ultra Limited Liability Company | Family Medicine | 1760 Havendale Blvd Nw, Winter Haven, FL 33881-1224 | 2020-04-13 |
| Find all providers with the same taxonomy | ||||
| City | FORT MYERS |
| Zip Code | 33905 |
Please comment or provide details below to improve the information on MS. CARMEN MARIA FERNANDEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.