MEDICARE: MR. OSVALDO E FERNANDEZ

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	164W00000X	Licensed Practical Nurse	149025	FL

General Provider Information

NPI Number	:	1558594945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. OSVALDO E FERNANDEZ

Provider Business Mailing Address
First Line	:	4532 W KNOLLWOOD ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-3636
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4532 W KNOLLWOOD ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-3636
Country	:	US
Telephone Number	:	813-298-5692
Fax Number	:

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

Provider Enumeration Date	:	09/01/2009
Last Update Date	:	09/01/2009

Similar Medicare Providers

1275729808 — TANIA MANREZA
Practice Location Address:

4532 W KNOLLWOOD ST
TAMPA, FL
33614-3636

Practice Phone: 813-298-5692
Practice Fax:

1982993820 — TANIA HEALTH INC
Practice Location Address:

4532 W KNOLLWOOD ST
TAMPA, FL
33614-3636

Practice Phone: 813-298-5692
Practice Fax: 813-405-1749

1184396871 — AMERICAN DREAM ALF , INC.
Practice Location Address:

4532 W KNOLLWOOD ST
TAMPA, FL
33614-3636

Practice Phone: 786-419-8801
Practice Fax: 813-280-9418

1881398675 — AMERICAN DREAM ALF , INC.
Practice Location Address:

4532 W KNOLLWOOD ST
TAMPA, FL
33614-3636

Practice Phone: 786-441-9880
Practice Fax: 813-280-9418

1679138424 — DR. FERNANDO YOMAR CORDERO-BAEZ MD
Practice Location Address:

4710 N HABANA AVE STE 200
TAMPA, FL
33614-7146

Practice Phone: 813-450-3457
Practice Fax:

1942157524 — BELLA CEFOLA
Practice Location Address:

4710 N HABANA AVE STE 107
TAMPA, FL
33614-7143

Practice Phone: 813-910-0030
Practice Fax:

Directions to “ MR. OSVALDO E FERNANDEZ ” 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.