Individual
LIZETTE SONIA HERNANDEZ
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3709 W HAMILTON AVE, SUITE 1, TAMPA, FL 33614-4015
(813) 933-4826
(813) 931-8595
Mailing address
3709 W HAMILTON AVE, SUITE 1, TAMPA, FL 33614-4015
(813) 933-4826
(813) 931-8595
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
ME0064363
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128888
FIRST HEALTH
FL
01
—
291911
AVMED HEALTH PLAN
FL
01
—
41857
BCBS
FL
01
—
7080632
AETNA HEALTH PLAN
FL
Enumeration date
11/07/2005
Last updated
07/08/2007
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