Healthcare Provider Details

I. General information

NPI: 1023209400
Provider Name (Legal Business Name): FRANCISCO FERNANDEZ-GONZALEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2007
Last Update Date: 08/12/2024
Certification Date: 08/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3219 CLIFTON AVE STE 225
CINCINNATI OH
45220-3043
US

IV. Provider business mailing address

3219 CLIFTON AVE STE 225
CINCINNATI OH
45220-3043
US

V. Phone/Fax

Practice location:
  • Phone: 513-624-0999
  • Fax: 513-624-0934
Mailing address:
  • Phone: 513-624-0999
  • Fax: 513-624-0934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number46350
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number46350
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number35.151019
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: