| Ivette M Fernandez Dmd Pa | |
|
502 E Olympia Ave Punta Gorda FL 33950-3838 | |
| (941) 639-1124 | |
| Not Available |
| Full Name | Ivette M Fernandez Dmd Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 502 E Olympia Ave, Punta Gorda, Florida |
| Authorized Official Name and Position | Ivette M Fernandez (PRESIDENT) |
| Authorized Official Contact | 9416391124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivette M Fernandez Dmd Pa 502 E Olympia Ave Punta Gorda FL 33950-3838 Ph: (941) 639-1124 | Ivette M Fernandez Dmd Pa 502 E Olympia Ave Punta Gorda FL 33950-3838 Ph: (941) 639-1124 |
| NPI Number | 1720098569 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 06/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720098569 | NPI | - | NPPES |
| 070543800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN15145 (Florida) | Primary |
Comfortable Care Dental Health Professionals, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 42031 Cypress Pkwy, Punta Gorda, FL 33982 Phone: 941-833-1639 | |
Richard J Rand Jr Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 428 E Olympia Ave, Punta Gorda, FL 33950 Phone: 941-639-8030 Fax: 941-639-1901 | |
Smiles Of Punta Gorda, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Madrid Blvd Unit 414, Punta Gorda, FL 33950 Phone: 941-575-2626 | |
Coast Florida P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3941 Tamiami Trl Unit 3171, Punta Gorda, FL 33950 Phone: 941-639-5224 Fax: 941-639-3563 | |
Harborside Dental Assoc Pca Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 522 E Marion Ave, 3rd Floor, Punta Gorda, FL 33950 Phone: 941-575-9200 | |
Cayo Costa Dental, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 316 W Helen Ave, Punta Gorda, FL 33950 Phone: 941-575-1446 Fax: 941-637-1963 |