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Organization
JORGE L HERNANDEZ MD PA
Active
Organization
JORGE L HERNANDEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE L. HERNANDEZ M.D. (OWNER)
(941) 746-4151
Entity
Organization
Contact information
Practice address
250 2ND ST E, SUITE 3B, BRADENTON, FL 34208-1029
(941) 746-4151
(941) 746-4345
Mailing address
250 2ND ST E, SUITE 3B, BRADENTON, FL 34208-1029
(941) 746-4151
(941) 746-4345
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB6894
MCR RR
FL
Enumeration date
04/19/2006
Last updated
05/24/2010
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