Organization
JOSEPH M HERNANDEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH M HERNANDEZ M,D. (PROVIDER/OWNER)
(386) 754-0600
Entity
Organization
Contact information
Practice address
826 SW MAIN BLVD STE 102, LAKE CITY, FL 32025-5742
(386) 754-0600
(386) 755-9737
Mailing address
826 SW MAIN BLVD STE 102, LAKE CITY, FL 32025-5742
(386) 754-0600
(386) 755-9737
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277541700
—
FL
Enumeration date
02/02/2010
Last updated
02/02/2010
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