Frederico Fernandez, Md. Pc

NPI 1710110945 - Internal Medicine - 207R00000X

NPI Details
NPI 1710110945
Enumeration Date 09/04/2009
Last Updated 09/04/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name FREDERICO YAMBAO FREDERICO
Position PRESIDENT
Phone (256) 845-0023
Fax (256) 845-0238
Practice Location
2804 GREENHILL BLVD NW STE 101
FORT PAYNE AL, 35968-3067, US
Phone (256) 845-0023
Fax (256) 845-0238
Business Location
2804 GREENHILL BLVD NW STE 101
FORT PAYNE AL, 35968-3067, US
Phone (256) 845-0023
Fax (256) 845-0238
Toxanomy
Taxonomy Code 207R00000X
License State Alabama
License Number MD.21001
Remove 1710110945 NPI Number
 

According to our database, Frederico Fernandez, Md. Pc NPI is 1710110945, taxonomy code is 207R00000X and license number is MD.21001, license state is located at Alabama. Frederico Fernandez, Md. Pc physically located at 2804 Greenhill Blvd Nw Ste 101, Fort Payne AL, 35968-3067. NPI Number 1033115704 has the healthcare provider type.

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1710110945 NPI number is provided on an as is basis without warranty of any kind. 1710110945 is maintained by the National Plan & Provider Enumeration System. The contents of Frederico Fernandez, Md. Pc are for informational purposes only.