Individual
DR. ANTONIO MIGUEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8150 CHANCELLOR DR, SUITE 110, ORLANDO, FL 32809-7691
(407) 587-4243
(407) 251-5053
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(214) 932-8029
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
ME68082
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME68082
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265412100
—
FL
Enumeration date
01/10/2006
Last updated
05/01/2015
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