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Individual
ALEX HERNANDEZ
Active
Individual
ALEX HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PA9100607
FL
363A00000X
Physician Assistant
Primary
PA9100607
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291755600
—
FL
Enumeration date
09/02/2006
Last updated
10/22/2009
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