institution
Marta R Fernandez Md P A
General Practice Physician in Cape Coral, Florida
NPI 1780880203

Marta R Fernandez Md P A is a General Practice Physician based in Cape Coral, FL. Marta R Fernandez Md P A practices in Cape Coral, FL. The NPI Number for Marta R Fernandez Md P A is 1780880203 and holds a License No. ME90692 (Florida).

The current practice location address for Marta R Fernandez Md P A is 2500 Del Prado Blvd S, Cape Coral, FL and can be reached out via phone at 239-772-1194 and via fax at 239-772-1196.

Location: 2500 Del Prado Blvd S, Cape Coral, FL, 33904-5750
institution
Provider Profile Details
NPI Number
1780880203
Provider Name
Marta R Fernandez Md P A
Credential
Provider Entity Type
Organization
Address
2500 Del Prado Blvd S, Cape Coral, FL, 33904-5750
Phone Number
239-772-1194
Fax Number
239-772-1196
Provider Enumeration Date
06/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ME90692 01 FL MEDICAL LICENSE
268370900 01 FL MEDICAID PROVIDER
institution
Provider Business Practice Location Address Details
Address
2500 Del Prado Blvd S
City
State
Zip
33904-5750
Phone Number
239-772-1194
Fax Number
239-772-1196
person
Provider Business Mailing Address Details
Address
2500 Del Prado Blvd S
City
State
Zip
33904-5750
Phone Number
239-772-1194
Fax Number
239-772-1196
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
ME90692 (Florida)
Definition
Definition to come...
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