Healthcare Provider Details

I. General information

NPI: 1518922921
Provider Name (Legal Business Name): FABIOLA B SCHLESSINGER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 07/16/2024
Certification Date: 07/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 SADDLEBACK KNL
NELLYSFORD VA
22958-8041
US

IV. Provider business mailing address

311 SADDLEBACK KNL
NELLYSFORD VA
22958-8041
US

V. Phone/Fax

Practice location:
  • Phone: 305-878-5854
  • Fax:
Mailing address:
  • Phone: 305-878-5854
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME0049391
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME49391
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberME49391
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: