# JORGE A HERNANDEZ PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578819769
- **Authorized official:** DR. JORGE A HERNANDEZ D.P.M (DIRECTOR/OWNER)
- **Authorized official phone:** (787) 598-1000

## Contact information

- **Practice address:** 2701 EXECUTIVE PARK DR STE 3, WESTON, FL 33331-3632
- **Practice address phone:** (954) 328-9770
- **Practice address fax:** (954) 212-9817
- **Mailing address:** 13315 SW 26TH ST, MIRAMAR, FL 33027-3875
- **Mailing address phone:** (787) 598-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO 3424 | FL | Yes |

## Other

- **Enumeration date:** 07/25/2012
- **Last updated:** 06/22/2025