MEDICARE: FERNANDA POLEY DE OLIVEIRA M.D.

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	207Q00000X	Family Medicine Physician	ME63488	FL

General Provider Information

NPI Number	:	1669541678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FERNANDA POLEY DE OLIVEIRA M.D.

Provider Business Mailing Address
First Line	:	827 18TH ST
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-6481
Country	:	US
Telephone Number	:	729-258-2007
Fax Number	:	772-925-8199

Provider Business Practice Location Address
First Line	:	1255 37TH ST STE C
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-6550
Country	:	US
Telephone Number	:	772-494-1770
Fax Number	:	772-494-1774

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

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	01/26/2026

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