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NPI Code Detail

MEDICARE: DOMINGO R CERRA-FERNANDEZ MD

MEDICARE: DOMINGO R CERRA-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
12084P0800XPsychiatry PhysicianME 0040308FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376689604
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOMINGO R CERRA-FERNANDEZ MD
Provider Business Mailing Address
First Line : 1425 S US 301
Second Line :
City : SUMTERVILLE
State : FL
Zip : 33585-5141
Country : US
Telephone Number : 352-793-5900
Fax Number : 352-793-6269
Provider Business Practice Location Address
First Line : 7205 SE MARICAMP RD
Second Line :
City : OCALA
State : FL
Zip : 34472-2105
Country : US
Telephone Number : 352-680-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 10/19/2018

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Directions to “ DOMINGO R CERRA-FERNANDEZ MD” Practice Location

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