David F Fernandez, MD, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DAVID F FERNANDEZ, MD, PA

Doing business as

Lakeside Internal Medicine Associates

Practice address

1879 Nightingale LN
Suite B1
Tavares, FL 32778-4363

Phone

(352) 343-5722

Fax

(352) 343-7506

NPI assigned

Dec 9, 2005

Last updated

Jun 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Terri Martinez

Title

Office Manager

Phone

(352) 343-0677

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LAKESIDE INTERNAL MEDICINE ASSOCIATES Doing business as

Locations

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1679558928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1879 NIGHTINGALE LN",
            "address_2": "SUITE B1",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784363",
            "telephone_number": "352-343-5722",
            "fax_number": "352-343-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1879 NIGHTINGALE LN",
            "address_2": "SUITE B1",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784363",
            "telephone_number": "352-343-5722",
            "fax_number": "352-343-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID F FERNANDEZ, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-343-0677",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD FL",
            "identifier": "45546",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKESIDE INTERNAL MEDICINE ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Dakkak, MD
• Raquel Dallas
• Laura Elizabeth Dalley, ARNP
• Michaela Daniels
• Perry Dave, DO
• David L. Frerking D.C.P.a. (Tavares Family Chiropractic Center)
• Chalandra Davis
• Dynasty Davis
• Sandra F Dawson, NP
• Carlos De la Torre

• Internal Medicine Physician in Tavares, FL
• Providers in Tavares, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.