MEDICARE: DR. ANIKA NICOLE 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	207R00000X	Internal Medicine Physician	ME156198	FL
2	208M00000X	Hospitalist Physician	ME156198	FL

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	:	1689134637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANIKA NICOLE FERNANDEZ MD

Provider Business Mailing Address
First Line	:	1855 VETERANS PARK DR STE 201
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34109-0446
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1855 VETERANS PARK DR STE 201
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34109-0446
Country	:	US
Telephone Number	:	239-260-1033
Fax Number	:

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

Provider Enumeration Date	:	03/24/2019
Last Update Date	:	01/15/2026

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