Individual
PEDRO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
364 WHITE OAK ST, ASHEBORO, NC 27203-5434
(814) 443-8225
(904) 446-3013
Mailing address
5220 BELFORT RD, SUITE 130, JACKSONVILLE, FL 32256-6017
(904) 446-3451
(904) 446-3013
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
TD071045
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011-01205
MD LICENSE
NC
01
—
TD71045
MAINE TEMPORARY LICENSE
ME
Enumeration date
08/10/2007
Last updated
06/24/2015
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