Alfredo D Fernandez MD PA
Dermatology in Sarasota, FL. Organization (NPI-2).
NPI number1568686707
StatusActive
Last updated in NPPESOct 4, 2023
Details
- NPI
- 1568686707
- Entity type
- Organization (NPI-2)
- Legal business name
- Alfredo D Fernandez MD PA
- Organization subpart
- No
- Enumeration date
- Apr 12, 2007
- Certification date
- Oct 4, 2023
- Last updated
- Oct 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | – | – | |
| 207ND0900X | Dermatology, Dermatopathology | – | – | |
| 207NP0225X | Dermatology, Pediatric Dermatology | – | – | |
| 207NS0135X | Dermatology, Procedural Dermatology | – | – |
Practice location
2426 S Tamiami TrlSarasota, FL 34239-3841
Phone 941-906-7546
Mailing address
2426 S Tamiami TrlSarasota, FL 34239-3841
Phone 941-906-7546
Authorized official
Alfredo D Fernandez
Owner
9419067546
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