Provider Demographics
NPI:1295900819
Name:FERNANDEZ-SEMIDEY, JOSE MANUEL (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:MANUEL
Last Name:FERNANDEZ-SEMIDEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:12470 TELECOM DR
Mailing Address - Street 2:SUITE 300W
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33637-0904
Mailing Address - Country:US
Mailing Address - Phone:863-287-6569
Mailing Address - Fax:863-968-1797
Practice Address - Street 1:12470 TELECOM DR
Practice Address - Street 2:SUITE 300W
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33637-0904
Practice Address - Country:US
Practice Address - Phone:863-287-6569
Practice Address - Fax:863-968-1797
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-24
Last Update Date:2016-05-16
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Provider Licenses
StateLicense IDTaxonomies
FLME105393207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine