Michel Fernandez MD PA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

MICHEL FERNANDEZ MD PA

Practice address

924 Fruit Cove Rd
St Johns, FL 32259-3149

Phone

(817) 907-9550

NPI assigned

Apr 28, 2021

Organization subpart

No

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

Authorized official

Name

Michel Fernandez, MD

Title

Owner

Phone

(817) 907-9550

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1497337422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 FRUIT COVE RD",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322593149",
            "telephone_number": "817-907-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 FRUIT COVE RD",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322593149",
            "telephone_number": "817-907-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHEL FERNANDEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-907-9550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Melhorn, BCBA
• Melissa Whitlow LMHC
• Memorial Healthcare Group, Inc.
• Iley Mae Mendez, APRN, MSN
• Mental South Wellness PA
• Kristin Midkiff, PA-C
• Weston Blake Mills, PA-C
• Felix Mitchell II, PHARMD
• Modern Day Dental
• Pamela H Montano, PA

• Pulmonary Disease Physician in St Johns, FL
• Providers in St Johns, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.