Todd Fife, MD

NPI 1063500403 · on the registry since 2006 · sole proprietor

Practice

Address: 4225 Nw American Ln
Lake City, FL 32055
Phone: (386) 758-6141
Fax: (386) 758-6140
Organisation at this address: Djrj2
Ernest De Leon, Md, Pa
Lake City Regional Medical Group Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Also registered as: 207Q00000X
Licence states on file: ND, FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-08-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida