Active NPI
The Fernandez Martinez Management, LLC
- Geriatric Medicine (Internal Medicine) Physician
- Lady Lake, FL
National Provider Identifier
1629935879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- THE FERNANDEZ MARTINEZ MANAGEMENT, LLC
- Practice address
- 741 Highway 466
Lady Lake, FL 32159-6340 - Phone
- (352) 750-6650
- Fax
- (352) 750-6653
- NPI assigned
- Jan 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ana Del Camen Fernandez Liz
- Title
- Office Manager
- Phone
- (352) 750-6650
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | Primary |
Addresses
Primary practice location
741 Highway 466
Lady Lake, FL 32159-6340
Mailing address
741 Highway 466
Lady Lake, FL 32159-6340
Phone (352) 750-6650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588635551 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767830400000",
"number": "1629935879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 HIGHWAY 466",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321596340",
"telephone_number": "352-750-6650",
"fax_number": "352-750-6653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "741 HIGHWAY 466",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321596340",
"telephone_number": "352-750-6650",
"fax_number": "352-750-6653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE FERNANDEZ MARTINEZ MANAGEMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-08",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A",
"authorized_official_last_name": "FERNANDEZ LIZ",
"authorized_official_first_name": "ANA",
"authorized_official_middle_name": "DEL CAMEN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "352-750-6650",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1588635551",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lady Lake, FL
- Obai Takieddin
- Kristyn Rene Talaber, COTA/L
- Runali Talati
- Rachel Beverly Tallbacka, P.A..
- Roberto A Tellez, PHARM D.
- The Springs Lady Lake Assisted Living Facility and Rehab LLC
- The Villages Internal Medicine and Geriatrics
- The Villages Nursing and Rehab LLC
- The Villages Rehabilitation Services LLC
- Jeffrey R Thill, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.