Frederico Fernandez, Md. Pc | |
2804 Greenhill Blvd Nw Ste 101 Fort Payne AL 35968-3067 | |
(256) 845-0023 | |
(256) 845-0238 |
Full Name | Frederico Fernandez, Md. Pc |
---|---|
Speciality | Internal Medicine |
Location | 2804 Greenhill Blvd Nw Ste 101, Fort Payne, Alabama |
Authorized Official Name and Position | Frederico Yambao Fernandez (PRESIDENT) |
Authorized Official Contact | 2568450023 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Frederico Fernandez, Md. Pc 2804 Greenhill Blvd Nw Ste 101 Fort Payne AL 35968-3067 Ph: (256) 845-0023 | Frederico Fernandez, Md. Pc 2804 Greenhill Blvd Nw Ste 101 Fort Payne AL 35968-3067 Ph: (256) 845-0023 |
NPI Number | 1710110945 |
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Provider Enumeration Date | 09/04/2009 |
Last Update Date | 09/04/2009 |
Medicare PECOS PAC ID | 9436204963 |
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Medicare Enrollment ID | O20090903000683 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710110945 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD.21001 (Alabama) | Primary |
Provider Name | Frederico Y Fernandez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972594505 PECOS PAC ID: 3476656760 Enrollment ID: I20070306000668 |
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