Individual
DR. DAVID JOSEPH HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 TAMPA GENERAL CIR, SOUTH TAMPA CENTER 7TH FLOOR, USF, TAMPA, FL 33606-3603
(813) 259-8702
Mailing address
2924 W BAYSHORE CT, TAMPA, FL 33611-2808
(813) 837-9350
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME104634
FL
208800000X
Urology Physician
D65299
MD
208800000X
Urology Physician
Primary
ME104634
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001058400
—
FL
01
—
1464F
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/18/2007
Last updated
03/31/2021
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