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ANDRE LAGE FERNANDES
NPI 1669981726
Student in an Organized Health Care Education/Training Program in Tampa, FL

Active since September 21, 2017
12901 BRUCE B DOWNS BLVD, TAMPA, FL 33612(813) 974-5699 Get Directions Write a Review

NPPES record last updated: September 21, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andre Lage Fernandes NPPES

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

ANDRE LAGE FERNANDES (NPI 1669981726) is an individual student in an organized health care education/training program in Tampa, Florida, licensed in Florida (PSI33186) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1669981726
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANDRE LAGE FERNANDES
Location Address12901 BRUCE B DOWNS BLVDTampa, FL 33612-4742
Mailing Address17110 Carrington Park Dr Apt 824Tampa, FL 33647-2632 · (407) 437-6637
Phone(813) 974-5699
Sole ProprietorYes
Enumeration DateSeptember 21, 2017
✔ NPI 1669981726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in FL · PSI33186
Definition
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.
12901 BRUCE B DOWNS BLVD, Tampa, FL 33612
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Other Providers at the Same Location NPPES 20

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

ALBERTO JUAN DUBOY M.D.
Urology
12901 BRUCE B DOWNS BLVD, MDC 41
TAMPA, FL 33612
Hillsborough County (813) 259-8581
ELLEN VERENA JORGENSEN MD
Pediatrics (Pediatric Endocrinology)
12901 BRUCE B DOWNS BLVD, MDC 15
TAMPA, FL 33612
Hillsborough County (813) 974-2583
KRISTIN PATRICK MD
Obstetrics & Gynecology
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Hillsborough County (813) 974-0703
ORLANDO L RUANO DO
Psychiatry & Neurology (Psychiatry)
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Hillsborough County (813) 974-8900
ANDREA VALENTINA FARACO
Specialist/Technologist (Athletic Trainer)
12901 BRUCE B DOWNS BLVD, MDC 77
TAMPA, FL 33612
Hillsborough County (813) 396-9989
ROBERT V FARESE MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Hillsborough County (813) 974-2201
PHILIP SHENEFELT MD
Dermatology
12901 BRUCE B DOWNS BLVD, MDC 79
TAMPA, FL 33612
Hillsborough County (813) 974-2920
JANE NORMAN RD
Dietitian, Registered
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Hillsborough County (813) 974-2201

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 Andre Fernandes's NPI number?

The NPI number for Andre Fernandes is 1669981726. It was assigned to this individual provider in the NPPES registry on September 21, 2017.

Where is Andre Fernandes located?

Andre Fernandes practices at 12901 Bruce B Downs Blvd, Tampa, FL 33612. The listed phone number is (813) 974-5699.

What is Andre Fernandes's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Andre Fernandes was last updated on September 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.