MEDICARE: NESTOR FERNANDEZ, M.D., P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME56218	FL
2	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	ME56218	FL

General Provider Information

NPI Number	:	1023227899
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NESTOR FERNANDEZ, M.D., P.A.

Provider Business Mailing Address
First Line	:	10097 CLEARY BLVD STE 271
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-1065
Country	:	US
Telephone Number	:	954-975-4333
Fax Number	:	954-975-9857

Provider Business Practice Location Address
First Line	:	5412 W ATLANTIC BLVD
Second Line	:
City	:	MARGATE
State	:	FL
Zip	:	33063-5209
Country	:	US
Telephone Number	:	954-975-4333
Fax Number	:	954-975-9857

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. NESTOR FERNANDEZ
Credential	:	M.D.
Telephone Number	:	954-975-4333

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	09/11/2025

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