Jenaro Fernandez MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME0053191 Issued in FL

Legal business name

JENARO FERNANDEZ MD PA

Practice address

1401 Langham Ter
Heathrow, FL 32746-1966

Phone

(407) 804-9551

NPI assigned

Jun 10, 2007

Last updated

Aug 22, 2020By 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

Dr. Jenaro Felix Fernandez, M.D.

Title

President

Phone

(407) 804-9551

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1181433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821291451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 LANGHAM TER",
            "city": "HEATHROW",
            "state": "FL",
            "postal_code": "327461966",
            "telephone_number": "407-804-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 LANGHAM TER",
            "city": "HEATHROW",
            "state": "FL",
            "postal_code": "327461966",
            "telephone_number": "407-804-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENARO FERNANDEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "JENARO",
        "authorized_official_middle_name": "FELIX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-804-9551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0053191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME0053191",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David L Hyde, OTR/L
• Kelly Isenhoff
• Annie Jackson
• Jacqueline L Williams, PHD, LMFT
• Victoria Jameson
• Dawn E Johnson-Taylor
• Katie Jones
• Kristy L Jones
• Ymeika Jordan
• Julie Keating

• Psychiatry Physician in Heathrow, FL
• Providers in Heathrow, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.