Provider Demographics
NPI:1659722296
Name:FERNANDEZ, ALEXIS NAPOLEON (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:NAPOLEON
Last Name:FERNANDEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 CATTLEMEN RD STE 600
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-6284
Mailing Address - Country:US
Mailing Address - Phone:941-955-9151
Mailing Address - Fax:941-366-7582
Practice Address - Street 1:2020 CATTLEMEN RD STE 600
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-6284
Practice Address - Country:US
Practice Address - Phone:941-955-9151
Practice Address - Fax:941-366-7582
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-24
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN23477390200000X
FLME139596208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME139596OtherFL DOH