Individual
CELSO ROMAN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
92140 OVERSEAS HWY, SUITE 2, TAVERNIER, FL 33070-2636
(305) 852-7473
(305) 852-8962
Mailing address
92140 OVERSEAS HWY, SUITE 2, TAVERNIER, FL 33070-2636
(305) 852-7473
(305) 852-8962
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME28458
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057246202
—
FL
Enumeration date
11/24/2006
Last updated
02/01/2010
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