MEDICARE: CARMELLA 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	207X00000X	Orthopaedic Surgery Physician	ME126810	FL
2	207XS0106X	Orthopaedic Hand Surgery Physician	ME126810	FL

General Provider Information

NPI Number	:	1922241355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMELLA FERNANDEZ MD

Provider Business Mailing Address
First Line	:	730 GOODLETTE FRANK RD N
Second Line	:	STE 204
City	:	NAPLES
State	:	FL
Zip	:	34102-5618
Country	:	US
Telephone Number	:	329-777-3921
Fax Number	:

Provider Business Practice Location Address
First Line	:	730 GOODLETTE FRANK RD N
Second Line	:	STE 204
City	:	NAPLES
State	:	FL
Zip	:	34102-5618
Country	:	US
Telephone Number	:	239-777-9321
Fax Number	:

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

Provider Enumeration Date	:	04/15/2009
Last Update Date	:	05/29/2020

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