Zayas-Bazan, Fernando

Zayas-Bazan, Fernando is an individual health care provider with primary practice located at 807 Childrens Way Nemours Childrens Clinic, Jacksonville, Jacksonville FL 32207-8426. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Zayas-Bazan, Fernando can be contacted via phone (904) 697-3600.

Contact Information

Primary practice address
807 Childrens Way Nemours Childrens Clinic, Jacksonville Jacksonville FL 32207-8426
Phone: (904) 697-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME121049 Florida
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X ME121049 Florida

Profile Details

NPI number 1972820587
LBN Legal business name Zayas-Bazan, Fernando
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2010
Last updated Sep 26th, 2015 - about 11 years 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 1972820587 NPPES
Florida MEDICAID 015274400

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