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General NPI Number Information
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NPI Number | 1790760478
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Entity Type | Individual
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Provider Name | FERNANDO E. KAFIE MD
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Gender | Male
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Dates
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Enumeration Date | 12/14/2005
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Last Update Date | 11/12/2019
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Provider Practice Location Address
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Address Line | 5147 N 9TH AVE STE G21
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City | PENSACOLA
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State | FL
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Zip | 32504-8771
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Country | US
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Telephone | 850-969-1491
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Fax | 850-969-1443
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Provider Business Mailing Address
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Address Line | PO BOX 11982
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City | PENSACOLA
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State | FL
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Zip | 32524-1982
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Country | US
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Telephone | 850-479-1805
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Fax | 850-479-1829
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | ME81407
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License Number State | FL
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