| Doctor Name: | DR. JOSEPH HERNANDEZ |
| NPI Number: | 1821168378 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME44356 |
| Business Practice Address: | 826 Sw Main Blvd Ste 102 Lake City, FL - 320255742 |
| Business Phone Number: | 3867540600 |
| Business Fax Number: | 3867559737 |
| Mailing Address: | 289 Sw Macon St, MADISON |
| State: | FL |
| Postal Code: | 32340 |
| Phone Number: | 9542619747 |
| Fax Number: | 8509734726 |
| NPI Enumeration Date: | 11/09/2006 |
| NPI Last Update Date: | 12/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME44356 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |