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Organization
YOEL A HERNANDEZ MD PA
Active
Organization
YOEL A HERNANDEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOEL A HERNANDEZ RODRIGUEZ MD (PRESIDENT)
(561) 451-6464
Entity
Organization
Contact information
Practice address
1951 SW 172ND AVE STE 200, MIRAMAR, FL 33029-5613
(954) 256-8181
(954) 256-8155
Mailing address
13079 NW 23RD ST, PEMBROKE PINES, FL 33028-2549
(561) 451-6464
(954) 256-8155
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME106099
FL
282E00000X
Long Term Care Hospital
ME106099
FL
282N00000X
General Acute Care Hospital
ME 106099
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME106099
MEDICAL LICENSE
FL
Enumeration date
03/16/2011
Last updated
06/25/2014
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