Doctor Name: | MARIA E HERNANDEZ |
NPI Number: | 1750486635 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | ME85427 |
Business Practice Address: | 364 Chestnut St Clermont, FL - 347113022 |
Business Phone Number: | 3522424816 |
Business Fax Number: | 3522424816 |
Mailing Address: | 364 Chestnut St, CLERMONT |
State: | FL |
Postal Code: | 347113022 |
Phone Number: | 3522424816 |
Fax Number: | 3522424816 |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 08/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME85427 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |