MEDICARE: MELISSA ANN FERNANDEZ CRNA

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	163WC0200X	Critical Care Medicine Registered Nurse	9325695	FL
2	367500000X	Certified Registered Nurse Anesthetist	11011615	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346832615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA ANN FERNANDEZ CRNA

Provider Business Mailing Address
First Line	:	17339 BLOOMING FIELDS DR
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34638-7222
Country	:	US
Telephone Number	:	786-447-3010
Fax Number	:

Provider Business Practice Location Address
First Line	:	17339 BLOOMING FIELDS DR
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34638-7222
Country	:	US
Telephone Number	:	786-447-3010
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2021
Last Update Date	:	03/17/2021

Similar Medicare Providers

1245404250 — MARCIA A. HOWELL
Practice Location Address:

17305 BLOOMING FIELDS DR
LAND O LAKES, FL
34638-7222

Practice Phone: 813-505-0454
Practice Fax: 813-926-4304

1225859523 — DAYKER ALFREDO FERNANDEZ PA
Practice Location Address:

17339 BLOOMING FIELDS DR
LAND O LAKES, FL
34638-7222

Practice Phone: 305-608-8741
Practice Fax:

1245121409 — GABRIELA MARIA RODRIGUEZ
Practice Location Address:

7222 JACARANDA LN
MIAMI LAKES, FL
33014-2662

Practice Phone: 786-365-5665
Practice Fax:

1033750880 — 21ST CENTURY PAIN MANAGEMENT PLLC
Practice Location Address:

6534 GREATWOOD PKWY STE A
SUGAR LAND, TX
77479-7222

Practice Phone: 832-614-9845
Practice Fax: 832-644-9193

1285627273 — MRS. KELLY MCCULLOUGH ARNP
Practice Location Address:

7227 LAND O LAKES BLVD
LAND O LAKES, FL
34638-2826

Practice Phone: 727-774-2360
Practice Fax: 813-794-2120

1821084740 — DR. JUNGSIL K CUSIMANO MD
Practice Location Address:

3608 BALLASTONE DR
LAND O LAKES, FL
34638-8069

Practice Phone: 607-206-2007
Practice Fax:

Directions to “ MELISSA ANN FERNANDEZ CRNA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.