MEDICARE: MAXIMO JOSE FERNANDEZ MD

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	207RC0000X	Cardiovascular Disease Physician	ME 107066	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	FM440Z	OTHER	FL	MEDICARE PTAN

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	:	1215119185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAXIMO JOSE FERNANDEZ MD

Provider Business Mailing Address
First Line	:	4765 VOLUNTEER RD STE 404
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33330-2128
Country	:	US
Telephone Number	:	954-374-7545
Fax Number	:	954-374-7543

Provider Business Practice Location Address
First Line	:	4765 VOLUNTEER RD STE 404
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33330-2128
Country	:	US
Telephone Number	:	954-374-7545
Fax Number	:	954-374-7543

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

Provider Enumeration Date	:	12/03/2007
Last Update Date	:	12/17/2025

Similar Medicare Providers

1457543746 — DR. IVEL CRISTINA DE FREITAS M.D.
Practice Location Address:

4765 SW 148TH AVE STE 404
DAVIE, FL
33330-2128

Practice Phone: 203-300-0147
Practice Fax: 954-634-4293

1265756563 — DAVIE URGENT CARE LLC
Practice Location Address:

4765 SW 148TH AVE , SUITE 401
DAVIE, FL
33330-2128

Practice Phone: 954-476-8800
Practice Fax: 954-476-1362

1720378144 — ORTHOPAEDIC ASSOCIATES USA, PA
Practice Location Address:

4765 SW 148TH AVENUE , SUITE 401
DAVIE, FL
33330-2128

Practice Phone: 954-707-5070
Practice Fax: 954-734-1353

1437584240 — DR. RAUL JULIO FRANCES M.D.
Practice Location Address:

4765 SW 148TH AVE STE 404
DAVIE, FL
33330-2128

Practice Phone: 954-374-7545
Practice Fax:

1376011551 — PERSONALIZED MEDICINE INSTITUTE, LLC.
Practice Location Address:

4765 SW 148TH AVE STE 404
DAVIE, FL
33330-2128

Practice Phone: 203-300-0147
Practice Fax: 954-634-4293

1104688563 — BRYAN GONZALEZ PA-C
Practice Location Address:

4765 SW 148TH AVE STE 404
DAVIE, FL
33330-2128

Practice Phone: 954-374-7545
Practice Fax: 954-374-7543

Directions to “ MAXIMO JOSE FERNANDEZ MD” 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.