DR ANTHONY A FERNANDEZ MD PA (NPI# 1174828313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174828313 |
| Entity Type | Organization |
| Organization Name | DR ANTHONY A FERNANDEZ MD PA |
| Practice Address |
4600 N Habana Ave Ste 16 Tampa FL 33614-7112 |
| Practice Telephone | 8138760502 |
| Practice Fax Number | 8138726503 |
| Mailing Telephone | 8138760502 |
| Mailing Fax Number | 8138726503 |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |
| Authorized Official Name | DR. ANTHONY ALVARO FERNANDEZ (PRESIDENT) |
| Authorized Official Telephone | 8138760502 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
ME0008628 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 043154100 | 05 |
| Street Address |
4600 N HABANA AVE STE 16 |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-7112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578559753 | Leopoldo Grauer Md Pa | Internal Medicine | 4600 N Habana Ave, Ste 29, Tampa, FL 33614-7166 | 2005-09-23 |
| 1053701359 | Luis E. Kortright M.d. | Orthopaedic Surgery | 4600 N Habana Ave, Suite # 6, Tampa, FL 33614-7112 | 2015-01-26 |
| 1780922997 | Ruben J Perez-ramos | Internal Medicine | 4600 N Habana Ave, # 27, Tampa, FL 33614-7112 | 2013-01-23 |
| 1922342906 | Md and Wellness Center Inc | Clinic/Center | 4600 N Habana Ave, Suite 12, Tampa, FL 33614-7112 | 2012-11-15 |
| 1811275720 | Ramon Hugo Sanchez, M.d., Pa | Independent Medical Examiner | 4600 N Habana Ave, Suite 32, Tampa, FL 33614-7112 | 2011-07-26 |
| 1619268026 | Genesis Physicians Group LLC | Internal Medicine | 4600 N Habana Ave, #27, Tampa, FL 33614-7112 | 2011-04-20 |
| 1285930123 | Peggy Lynn Wallace | Nurse Practitioner | 4600 N Habana Ave, Suite 15, Tampa, FL 33614-7112 | 2011-02-09 |
| 1164728630 | G. E. Vega, M. D., P. A. | Specialist | 4600 N Habana Ave, Suite 33, Tampa, FL 33614-7112 | 2011-02-01 |
| 1114231347 | Joseph G Sinkovics Md Pa | Clinic/Center | 4600 N Habana Ave, Suite 9, Tampa, FL 33614-7112 | 2010-07-29 |
| 1225342553 | Robert C Henderson Md Pa | Orthopaedic Surgery | 4600 N Habana Ave, 30, Tampa, FL 33614-7112 | 2010-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841809076 | Michelle P Gillespie Do Pa | Clinic/Center | 2330 W Horatio St Ste 200, Tampa, FL 33609-3590 | 2020-07-23 |
| 1538781364 | Blue Lotus Endocrine Company Inc | Clinic/Center | 1101 E. Cumberland Ave, Ste 201h #128, Tampa, FL 33602-4231 | 2020-05-14 |
| 1134644495 | Carol S Cox Md | Clinic/Center | 3000 Medical Park Dr Ste 140, Tampa, FL 33613-4679 | 2017-08-08 |
| 1356773162 | Neurocog Testing Inc | Clinic/Center | 2700 West Mlk Jr. Blvd Suite 250, Tampa, FL 33607 | 2013-08-02 |
| 1245532886 | Hrc Medical - Tampa, LLC | Clinic/Center | 1715 N Westshore Blvd, Suite 100, Tampa, FL 33607-3925 | 2010-12-02 |
| 1306156377 | Tampa Bay Surgery Specialists, P.a. | Clinic/Center | 2727 West Dr. Martin Luther King Jr. Boulevard, Suite 560, Tampa, FL 33607-6009 | 2010-10-08 |
| 1033436381 | Lazaro A Hernandez Md Pa | Clinic/Center | 2309 W Dr Martin Luther King Jr Blvd, Suite1, Tampa, FL 33607-6441 | 2010-04-27 |
| 1871734996 | Said Assif,md,pa | Clinic/Center | 12903 Castlemaine Dr, Tampa, FL 33626-4471 | 2009-03-19 |
| 1982816716 | Asthma Allergy and Immunology of Tampa Bay Pa | Clinic/Center | 1918 W Martin L King Jr Blvd, Tampa, FL 33607-6510 | 2007-05-04 |
| 1306058144 | All Kids Clinic | Clinic/Center | 1922 W. Martin Luther King Jr. Blvd, Tampa, FL 33607-6510 | 2007-05-04 |
| Find all providers in TAMPA | ||||
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| 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.