Individual provider Active NPI

Julie M Fernandez-Lang, D.O.

  • Family Medicine Physician
  • Gainesville, FL
National Provider Identifier
1093736738
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS7959 Issued in FL
Practice address
5469 SW 34TH St
Gainesville, FL 32608-5032
Phone
(352) 548-1900
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS7959 FL Primary

Addresses

Primary practice location

5469 SW 34TH St
Gainesville, FL 32608-5032

Mailing address

421 Woodbury Pines Cir
Orlando, FL 32828-9089
Phone (321) 663-3601

Other names 1

  • Julie M. Fernandez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240418002268 FL Order and Referring Only - Family PracticePractitioner - Family Practice 2062575582

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS7959FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Institute of Orlando, PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1093736738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 WOODBURY PINES CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328289089",
            "telephone_number": "321-663-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5469 SW 34TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326085032",
            "telephone_number": "352-548-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ-LANG",
        "first_name": "JULIE",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "FERNANDEZ",
            "middle_name": "M.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.