| Marta R Fernandez Md P A | |
|
2500 Del Prado Blvd S Cape Coral FL 33904-5750 | |
| (239) 772-1194 | |
| (239) 772-1196 |
| Full Name | Marta R Fernandez Md P A |
|---|---|
| Speciality | General Practice |
| Location | 2500 Del Prado Blvd S, Cape Coral, Florida |
| Authorized Official Name and Position | Marta R Fernandez (PRESIDENT) |
| Authorized Official Contact | 3056080524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marta R Fernandez Md P A 2500 Del Prado Blvd S Cape Coral FL 33904-5750 Ph: (239) 772-1194 | Marta R Fernandez Md P A 2500 Del Prado Blvd S Cape Coral FL 33904-5750 Ph: (239) 772-1194 |
| NPI Number | 1780880203 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 10/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780880203 | NPI | - | NPPES |
| ME90692 | Other | FL | MEDICAL LICENSE |
| 268370900 | Other | FL | MEDICAID PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME90692 (Florida) | Primary |
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