DR. JACQUELINE SOUZA FERNANDES (NPI# 1629038880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629038880 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE SOUZA FERNANDES |
| Credential | MD |
| Practice Address |
508 Jeffords St Ste C Clearwater FL 33756-3839 |
| Mailing Address |
Po Box 25317 Tampa FL 33622-5317 |
| Practice Telephone | 7274135061 |
| Practice Fax Number | 7274470314 |
| Mailing Telephone | 8132860033 |
| Mailing Fax Number | 8132821806 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2017-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | ME123990 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 34661 Us Highway 19 N, Palm Harbor, FL 346842152 | 7277871350 | 7277871241 |
| Street Address |
508 JEFFORDS ST STE C |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33756-3839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932553195 | James Zongyu Lee | Obstetrics & Gynecology | 508 Jeffords St Ste C, Clearwater, FL 33756-3839 | 2016-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
| 1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
| 1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
| 1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
| 1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
| 1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
| 1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
| 1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
| 1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
| 1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
| Find all providers in zip 33756 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215299540 | Amanda Marie Kane | Obstetrics & Gynecology | 2665 State Road 580 # 580, Clearwater, FL 33761-3166 | 2012-06-12 |
| 1184880502 | Gary A Dresden | Obstetrics & Gynecology | 2106 Drew St, Suite 103, Clearwater, FL 33765-3238 | 2008-08-05 |
| 1871660506 | Louis M Paolillo | Obstetrics & Gynecology | 1010 Jeffords St, Clearwater, FL 33756-4024 | 2006-11-29 |
| 1811096787 | Indian Rocks Woman's Health Care | Obstetrics & Gynecology | 1560 S Highland Ave, Clearwater, FL 33756-2372 | 2006-09-21 |
| 1356300867 | Gustave Stephen Igel | Obstetrics & Gynecology | 600 Lakeview Rd, Suite 2d, Clearwater, FL 33756-3355 | 2006-03-22 |
| 1972576296 | Patricia St. John | Obstetrics & Gynecology | 3190 N Mcmullen Booth Rd, Suite 200, Clearwater, FL 33761-2013 | 2006-02-08 |
| 1871564377 | Bay Area Womens Care | Obstetrics & Gynecology | 1055 S Fort Harrison Ave, Clearwater, FL 33756 | 2006-02-01 |
| 1801872148 | Thomas S Walter Md Pa | Obstetrics & Gynecology | 3251 N Mcmullen Booth Road, #102, Clearwater, FL 33761-2022 | 2005-12-19 |
| 1194701672 | Rachel A Lambert | Obstetrics & Gynecology | 303 Pinellas St Ste 230, Clearwater, FL 33756-3809 | 2005-12-16 |
| 1548243496 | Adam S. Levine | Obstetrics & Gynecology | 1180 Gulf Blvd, Suite 303, Clearwater, FL 33767-2752 | 2005-11-23 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33756 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.