Jeanine Fernandez (NPI# 1669725891, PAC ID# 8325281009) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1669725891 |
| PAC ID by PECOS | 8325281009 |
| Professional Enrollment ID | I20140430001710 |
| Full Name | Jeanine Fernandez |
| Organization Legal Name | ANESTHESIOLOGY PROFESSIONAL SERVICES INC |
| Address |
1871 Lpga Blvd Daytona Beach FL 32117-7108 |
| Phone Number | 3863668182 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4688577141 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100068 | FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1871 Lpga Blvd, Daytona Beach, FL 32117-7108 | 3863668182 | ANESTHESIOLOGY PROFESSIONAL SERVICES INC |
| 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 3862316000 | FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC |
| 517 Health Blvd, Daytona Beach, FL 32114-1493 | 3862751865 | PRC ASSOCIATES LLC |
| 1055 Saxon Blvd, Orange City, FL 32763-8468 | 3869175000 | FLORIDA HOSPITAL HEALTHCARE PARTNERS, INC |
| 1545 Hand Ave, Suite A1, Ormond Beach, FL 32174-1140 | 3862742977 | PRC ASSOCIATES LLC |
| 4919 Memorial Hwy, Suite 200, Tampa, FL 33634-7500 | 8135696500 | ANESTHESIOLOGY PROFESSIONAL SERVICES INC |
| Organization Legal Name | ANESTHESIOLOGY PROFESSIONAL SERVICES INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erika Rey | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Professional Services Inc | 7600 Sw 87th Ave, Suite 200, Miami, FL 33173-3635 |
| Jan Duvoisin | Anesthesiology | Anesthesiology Professional Services Inc | 10901 Sheldon Rd, Tampa, FL 33626-4702 |
| Sidharth C Panchamia | Pain Management | Anesthesiology Professional Services Inc | 2407 Cypress Ridge Blvd, Wesley Chapel, FL 33544-6312 |
| Mina A Patel | Anesthesiology | Anesthesiology Professional Services Inc | 4901 Vineland Rd, Suite 150, Orlando, FL 32811-7190 |
| Lindsey A Musick | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Professional Services Inc | 2407 Cypress Ridge Blvd, Wesley Chapel, FL 33544-6312 |
| Jessica Dorsey | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Professional Services Inc | 1871 Lpga Blvd, Daytona Beach, FL 32117-7108 |
| Street Address |
1871 LPGA BLVD |
| City | DAYTONA BEACH |
| State | FL |
| Zip | 32117-7108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Dorsey | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Professional Services Inc | 1871 Lpga Blvd, Daytona Beach, FL 32117-7108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erika Faile | Family Medicine | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Richard C Braithwaite | Internal Medicine | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Joseph J Zuckerman | Internal Medicine | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| James T Moore | Psychiatry | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Karen Michelle Berkeley | Clinical Social Worker | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Jared Ritter | Psychiatry | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Willis Blower | Clinical Social Worker | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Wendy A Myers | Internal Medicine | Florida Health Care Plans Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Mary Jo Arciom | Chiropractic | 244 9th St, Holly Hill, FL 32117-3535 | |
| Gabriel F Rizzo | Chiropractic | 701 Ridgewood Ave, Unit B, Holly Hill, FL 32117-3619 | |
| Find all physicians in zip 32117 | |||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | DAYTONA BEACH + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.