Organization
LAZARO A HERNANDEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAZARO ANDRES HERNANDEZ M.D (PHYSICIAN)
(813) 879-2778
Entity
Organization
Contact information
Practice address
2309 W DR MARTIN LUTHER KING JR BLVD, SUITE1, TAMPA, FL 33607-6441
(813) 879-2778
(813) 877-6761
Mailing address
2309 W DR MARTIN LUTHER KING JR BLVD, SUITE1, TAMPA, FL 33607-6441
(813) 879-2778
(813) 877-6761
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME19886
FL
Other
Enumeration date
04/27/2010
Last updated
06/15/2010
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