Marygold Fernandez (NPI# 1760748644, PAC ID# 2466752688) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1760748644 |
| PAC ID by PECOS | 2466752688 |
| Professional Enrollment ID | I20171012000846 |
| Full Name | Marygold Fernandez |
| Organization Legal Name | MARIA NINA CONCEPCION MD PA |
| Address |
2302 N Blvd Suite D Davenport FL 33837 |
| Phone Number | 8634221400 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2466514880 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100320 | POINCIANA MEDICAL CENTER |
| 100007 | FLORIDA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2302 N Blvd, Suite D, Davenport, FL 33837 | 8634221400 | MARIA NINA CONCEPCION MD PA |
| Organization Legal Name | MARIA NINA CONCEPCION MD PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria N Concepcion | Family Medicine | Maria Nina Concepcion Md Pa | 2302 N Blvd, Suite D, Davenport, FL 33837 |
| Street Address |
2302 N BLVD SUITE D |
| City | DAVENPORT |
| State | FL |
| Zip | 33837 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria N Concepcion | Family Medicine | Maria Nina Concepcion Md Pa | 2302 N Blvd, Suite D, Davenport, FL 33837 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Lustig | Urology | Central Florida Cancer Institute Pa | 40107 Hwy 27, Davenport, FL 33837 |
| Marilyn Frances Velez | Nurse Practitioner | Pulmonary Disease Specialists, Pa | 40124 Us Hwy 27, Suite 202, Davenport, FL 33837 |
| Alfredo Lisboa Salcedo | Nurse Practitioner | Pulmonary Disease Specialists, Pa | 40124 Us Hwy 27, Suite 202, Davenport, FL 33837 |
| Vladimir B Mouraviev | Urology | Central Florida Cancer Institute | 40107 Hwy 27, Davenport, FL 33837 |
| Reginald A Allen | Urology | Central Florida Cancer Institute | 40107 Hwy 27, Davenport, FL 33837 |
| Kerry L Gruber Vella | Clinical Psychologist | 206 W Orange St, Davenport, FL 33837-3118 | |
| Steven A Sylvia | Clinical Social Worker | 206 W Orange St, Davenport, FL 33837-3118 | |
| Karlene E Sinclair | General Surgery | 131 Webb Dr, Suite B, Davenport, FL 33837-3921 | |
| Yerania Rodriguez Navedo | Rheumatology | 131 Webb Dr, Suite C, Davenport, FL 33837-3921 | |
| Raphael L Lopez | Internal Medicine | 131 Webb Dr, Suite C, Davenport, FL 33837-3921 | |
| Find all physicians in zip 33837 | |||
| City | DAVENPORT |
| Zip Code | 33837 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DAVENPORT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Marygold Fernandez.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.