Fernando Fernandez, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH15296 Issued in FL

Practice address

4170 Town Ctr Blvd Ste 100
Orlando, FL 32837-5875

Phone

(407) 857-6166

NPI assigned

Jan 14, 2025

Sex

Male

Sole proprietor

No

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

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Socc PLGroup PAC ID 4486702065, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Socc PL

  dba South Orange Wellness & Injury Center

  • Chiropractor
  • Orlando, FL
  • NPI 1861450652
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1902617673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 TOWN CTR BLVD STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328375875",
            "telephone_number": "407-857-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 TOWN CTR BLVD STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328375875",
            "telephone_number": "407-857-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "FERNANDO",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH15296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David F Fernandez, M.D.
• Dino Ritchie Fernandez
• Edgar Serge Fernandez, M.D.
• Ernesto Fernandez, MD
• Fabiola Fernandez
• Francis J Fernandez Jr., M.D.
• Jaimesha Fernandez
• Jamie R Fernandez, APRN
• Josann Fernandez
• Jose Tomas Fernandez

• Chiropractor in Orlando, FL
• Providers in Orlando, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.