Provider Demographics
NPI:1538184320
Name:MCPHERSON, FIONA C (MD)
Entity type:Individual
Prefix:DR
First Name:FIONA
Middle Name:C
Last Name:MCPHERSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8455 66TH ST
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-1206
Mailing Address - Country:US
Mailing Address - Phone:727-548-7732
Mailing Address - Fax:727-545-1644
Practice Address - Street 1:8455 66TH ST
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-1206
Practice Address - Country:US
Practice Address - Phone:727-548-7732
Practice Address - Fax:727-545-1644
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0084305207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL265628100Medicaid
FL265628100Medicaid
FL17109ZMedicare PIN