Healthcare Provider Details

I. General information

NPI: 1124402722
Provider Name (Legal Business Name): VIAGNEHY FERNANDEZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2015
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 7TH ST. N
NAPLES FL
34102
US

IV. Provider business mailing address

PO BOX 1213
BRUNSWICK GA
31521-1213
US

V. Phone/Fax

Practice location:
  • Phone: 239-624-3997
  • Fax: 239-624-8101
Mailing address:
  • Phone: 912-466-7188
  • Fax: 912-466-7185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME144446
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number80606
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: