# ALEX HERNANDEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1679675540
- **Gender:** Man
- **Credential:** P.A.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | PA9100607 | FL | — |
| 363A00000X | Physician Assistant | PA9100607 | FL | Yes |

## Other

- **Enumeration date:** 09/02/2006
- **Last updated:** 10/22/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 291755600 | — | FL |
