Individual provider · Type 1 NPI

Andre Lage Fernandes

Student in an Organized Health Care Education/Training Program · Tampa, FL

NPI number 1669981726 Active

Practice location

12901 Bruce B Downs Blvd
Tampa, FL 33612-4742

Call (813) 974-5699 Map

Mailing address

17110 Carrington Park Dr Apt 824
Tampa, FL 33647-2632

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XPSI33186 (FL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1669981726

Andre Lage Fernandes's National Provider Identifier is 1669981726, issued on Sep 21, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tampa, FL. The record was last updated on Sep 21, 2017.