Doctor Name: | RAIMUNDO HERNANDEZ ZAS |
NPI Number: | 1003262825 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ARNP |
License Number: | ARNP9321219 |
Business Practice Address: | 4610 Weymouth St Lake Worth, FL - 334632252 |
Business Phone Number: | 7862777096 |
Business Fax Number: | |
Mailing Address: | 4610 Weymouth St, LAKE WORTH |
State: | FL |
Postal Code: | 334632252 |
Phone Number: | 7862777096 |
Fax Number: | |
NPI Enumeration Date: | 05/11/2016 |
NPI Last Update Date: | 05/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP9321219 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |