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LUIS FERNANDEZ, MD
NPI 1174902944
Non-Pharmacy Dispensing Site in Port Charlotte, FL

Active since May 26, 2015CLIA 10D2284449 · Waiver
2625 TAMIAMI TRL, SUITE 5, PORT CHARLOTTE, FL 33952(941) 661-3434(941) 764-7039 Get Directions Write a Review

NPPES record last updated: May 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Luis Fernandez, Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUIS FERNANDEZ, MD (NPI 1174902944) is a healthcare organization registered as a non-pharmacy dispensing site in Port Charlotte, Florida and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through June 21, 2027 and lists Luis Felipe Fernandez, Proprietor, as its authorized official.

NPPES Registry Identity

NPI1174902944
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameLUIS FERNANDEZ, MD
Location Address2625 TAMIAMI TRL, SUITE 5Port Charlotte, FL 33952-6403
Mailing Address2625 Tamiami Trl, Suite 5Port Charlotte, FL 33952-6403 · (941) 661-3434 · Fax (941) 764-7039
Phone(941) 661-3434
Fax(941) 764-7039
Organization SubpartNo
Authorized OfficialLuis Felipe FernandezProprietor · (941) 764-7999
Enumeration DateMay 26, 2015
✔ NPI 1174902944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in FL · ME56435
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
2625 TAMIAMI TRL, Port Charlotte, FL 33952
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2284449

Luis F Fernandez MD PA · Port Charlotte, FL
Active · expires Jun 21, 2027
CLIA Number10D2284449
Laboratory TypePhysician Office
Certificate Effective DateJune 22, 2025
Certificate Expiration DateJune 21, 2027
Laboratory DirectorLuis Fernandez
Laboratory Phone(941) 764-7999
Laboratory LocationLuis F Fernandez MD PA3005 Caring Way Suite 3, Port Charlotte, FL 33952
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADVANCED CARDIAC & VASCULAR CENTER PL
Internal Medicine (Cardiovascular Disease)
2625 TAMIAMI TRL, UNIT 5
PORT CHARLOTTE, FL 33952
Charlotte County (941) 235-4646
ADVANCED IMAGING OF PORT CHARLOTTE LLC
Radiology (Diagnostic Radiology)
2625 TAMIAMI TRL, UNIT 1
PORT CHARLOTTE, FL 33952
Charlotte County (941) 235-4646
THOMAS M FABIAN MD
Radiology (Diagnostic Radiology)
2625 TAMIAMI TRL, UNIT 1
PORT CHARLOTTE, FL 33952
Charlotte County (941) 235-4646
MOBILE NP LLC
Nurse Practitioner (Adult Health)
2625 TAMIAMI TRL
PORT CHARLOTTE, FL 33952
Charlotte County (941) 916-0053
DEBRA A IHNOT ARNP
Registered Nurse
2625 TAMIAMI TRL
PORT CHARLOTTE, FL 33952
Charlotte County (941) 916-0053
LISSETTE MARIA DOMINGUEZ NP-C
Nurse Practitioner (Adult Health)
2625 TAMIAMI TRL, SUITE 5
PORT CHARLOTTE, FL 33952
Charlotte County (941) 764-7999

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luis Fernandez, MD's NPI number?

The NPI number for Luis Fernandez, MD is 1174902944. It was assigned to this organization in the NPPES registry on May 26, 2015.

Where is Luis Fernandez, MD located?

Luis Fernandez, MD is located at 2625 Tamiami Trl Suite 5, Port Charlotte, FL 33952. The listed phone number is (941) 661-3434.

What is Luis Fernandez, MD's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Luis Fernandez, MD hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2284449) is associated with this NPI, valid through June 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Luis Fernandez, MD was last updated on May 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.