Provider Demographics
NPI:1912995499
Name:FISCHER-CARNE, TINA (MD)
Entity Type:Individual
Prefix:DR
First Name:TINA
Middle Name:
Last Name:FISCHER-CARNE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:125 FLORIDA MEMORIAL PKWY
Mailing Address - Street 2:SUITE 2700
Mailing Address - City:NEW SMYRNA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32168-9356
Mailing Address - Country:US
Mailing Address - Phone:386-409-6871
Mailing Address - Fax:386-409-6914
Practice Address - Street 1:125 FLORIDA MEMORIAL PKWY
Practice Address - Street 2:SUITE 2700
Practice Address - City:NEW SMYRNA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32168-9356
Practice Address - Country:US
Practice Address - Phone:386-409-6871
Practice Address - Fax:386-409-6914
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2015-04-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0073965207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine