Individual
DR. ADAN FERNANDO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 SE TIFFANY AVE, PORT ST LUCIE, FL 34952
(772) 237-0813
(772) 238-2004
Mailing address
1800 SE TIFFANY AVE, PORT ST LUCIE, FL 34952-7521
(772) 237-0813
(772) 238-2004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
21755
WI
207Q00000X
Family Medicine Physician
Primary
TRN28190
FL
208600000X
Surgery Physician
7500
HI
208M00000X
Hospitalist Physician
21755
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100194110
—
WI
Enumeration date
05/07/2018
Last updated
05/18/2023
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