Individual
NATHAN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3825 COUNTRYSIDE BLVD N, PALM HARBOR, FL 34684-4928
(727) 784-2848
Mailing address
1136 SOMERSET CIR S, DUNEDIN, FL 34698-8237
(727) 433-1401
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
21737
FL
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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