Provider Demographics
NPI:1184272171
Name:FERNADEZ, AIMEE I
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:FERNADEZ
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11407 NORWOOD ST
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-2210
Mailing Address - Country:US
Mailing Address - Phone:813-270-4530
Mailing Address - Fax:352-340-5519
Practice Address - Street 1:11407 NORWOOD ST
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-2210
Practice Address - Country:US
Practice Address - Phone:813-270-4530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty