Individual provider Active NPI

David F Fernandez, M.D.

  • Internal Medicine Physician
  • Orlando, FL
National Provider Identifier
1871578617
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME63469 Issued in FL
Practice address
601 E Rollins St
Orlando, FL 32803-1248
Phone
(407) 303-1549
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME63469 FL Primary

Addresses

Primary practice location

601 E Rollins St
Orlando, FL 32803-1248

Mailing address

1879 Nightingale LN
Suite B1
Tavares, FL 32778-4363
Phone (352) 343-5722

Other practice location 1

1000 Waterman Way Ste 3290
Tavares, FL 32778-5266
Phone (352) 253-3100

Other identifiers 1

IdentifierTypeStateIssuer
374778600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101221000403 FL Practitioner - Internal Medicine 4880886613 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Internal Medicine CurrentSince Dec 11, 2018 Accepting new patients
Central Florida Inpatient Medicine LLC Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Dec 11, 2018 Accepting new patients
Adventhealth Primary Care Network Inc Internal Medicine Past Accepting new patients
Family Podiatry of Central Florida PA PastSince Sep 5, 2023 Accepting new patients

Locations

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

917 Rinehart Rd
Ste 1051
Lake Mary, FL 32746
Phone (407) 562-9170

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

1749 David Walker Dr
Tavares, FL 32778
Phone (352) 742-1760

1000 Waterman Way
Ste 3290
Tavares, FL 32778
Phone (352) 253-3100

1879 Nightingale Ln
Ste B1
Tavares, FL 32778
Phone (352) 343-5722

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: dfernandez57003@adventhealth.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1871578617",
    "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": "601 E ROLLINS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031248",
            "telephone_number": "407-303-1549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Waterman Way Ste 3290",
            "address_purpose": "LOCATION",
            "city": "Tavares",
            "state": "FL",
            "postal_code": "327785266",
            "country_code": "US",
            "telephone_number": "352-253-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "DAVID",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME63469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374778600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.