| NPI Details | |
|---|---|
| NPI | 1710110945 |
| Enumeration Date | 09/04/2009 |
| Last Updated | 09/04/2009 |
| Entity Type | Healthcare Provider |
| Active | Over 8 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.
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