| Organization Name: | DR MANNYS HAIR RESTORATION CENTER |
| NPI Number: | 1114116050 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MANNY J HERNANDEZ (PHYSICAN/OWNER) |
| Mailing Address: | 1255 Viscaya Pkwy # 1 103 Cape Coral |
| State: | FL US |
| Postal Code: | 339903290 |
| Phone Number: | 2395736111 |
| Fax Number: | 2395739534 |
| NPI Enumeration Date: | 10/16/2007 |
| NPI Last Update Date: | 10/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME0041260 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |