Fernandez, Juan Carlos

Fernandez, Juan Carlos is an sole proprietor health care provider with primary practice located at 11031 Us Highway 19 Ste 102 , Port Richey FL 34668-2213. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Fernandez, Juan Carlos can be contacted via phone (813) 488-4801.

Contact Information

Primary practice address
11031 Us Highway 19 Ste 102 Port Richey FL 34668-2213
Phone: (813) 488-4801
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301119074 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN258 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X 16640 Puerto Rico

Profile Details

NPI number 1275656449
LBN Legal business name Fernandez, Juan Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2007
Last updated Feb 2nd, 2026 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275656449 NPPES
Michigan Other 4301119074 OTHER
Michigan Other 16640 OTHER
Michigan Other ACN258 OTHER

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