Provider Demographics
NPI:1124433644
Name:WOLL PLENGE, FERNANDO (MD)
Entity type:Individual
Prefix:
First Name:FERNANDO
Middle Name:
Last Name:WOLL PLENGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10299 SOUTHERN BLVD # 212773
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-4337
Mailing Address - Country:US
Mailing Address - Phone:305-735-2452
Mailing Address - Fax:561-584-5551
Practice Address - Street 1:10299 SOUTHERN BLVD # 212773
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-4337
Practice Address - Country:US
Practice Address - Phone:305-735-2452
Practice Address - Fax:561-584-5551
Is Sole Proprietor?:No
Enumeration Date:2014-06-23
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXU7962207RP1001X, 207RC0200X
KY53473207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease