Individual
ANTHONY ENRIQUE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2040 WASHINGTON ST, HOLLYWOOD, FL 33020-6930
(754) 348-5001
(754) 799-1272
Mailing address
692 E 19TH ST, HIALEAH, FL 33013-4132
(786) 718-6992
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9116684
FL
Other
Enumeration date
01/20/2023
Last updated
03/19/2023
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