Individual
MR. GEORGE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3251 3RD AVE N, ST PETERSBURG, FL 33713-8506
(727) 321-3854
Mailing address
3251 3RD AVE N, ST PETERSBURG, FL 33713-8506
(727) 321-3854
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
FL
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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