Fernando Ovalle Jr., M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME141653 Issued in FL

Practice address

6900 Tavistock Lakes Blvd Ste 400
Orlando, FL 32827-7593

Phone

(407) 900-0686

NPI assigned

Apr 12, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Mid-Florida Dermatology Associates P.a.

  • Dermatology Physician
  • Orlando, FL
  • NPI 1619018561

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1790128312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 SARGENT CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277756",
            "telephone_number": "205-401-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 TAVISTOCK LAKES BLVD STE 400",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277593",
            "telephone_number": "407-900-0686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6535 Nemours Pkwy",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328277884",
            "country_code": "US",
            "telephone_number": "407-567-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10920 Moss Park Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328326087",
            "country_code": "US",
            "telephone_number": "407-232-9060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1645 SW 107th Ave Ste 114C",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331657344",
            "country_code": "US",
            "telephone_number": "786-461-1059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3251 Daniels Rd Ste 122",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347877015",
            "country_code": "US",
            "telephone_number": "407-395-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OVALLE",
        "first_name": "FERNANDO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-12",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME141653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Beth Outlaw, LMHC
• Steven Outlaw
• Elana Outten
• Chensi Ouyang, MD
• Jie Ouyang, M.D.
• Ovamc
• Over the Horizon Concierge Services LLC
• Ronda Michele Overdiek, CRNA
• Olivia Nicole Overley, APRN, FNP-C
• James D Overmeyer, M.D.

• Plastic Surgery Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.