Dianne M Fernandez DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5777 Issued in FL

Legal business name

DIANNE M FERNANDEZ DC PA

Practice address

6166 Seminole Blvd
Seminole, FL 33772-6835

Phone

(727) 280-2323

Fax

(727) 201-4988

NPI assigned

Sep 1, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Dianne Michelle Fernandez, DC

Title

Pres/Owner

Phone

(727) 280-2323

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1972970481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6166 SEMINOLE BLVD",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337726835",
            "telephone_number": "727-280-2323",
            "fax_number": "727-201-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6166 SEMINOLE BLVD",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337726835",
            "telephone_number": "727-280-2323",
            "fax_number": "727-201-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANNE M FERNANDEZ DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRES/OWNER",
        "authorized_official_telephone_number": "727-280-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "5777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.