Individual
DR. CHRISTIAN HERNANDEZ NAZARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
255 W RIVER RD, WEWAHITCHKA, FL 32465-4533
(850) 639-5828
(850) 639-5536
Mailing address
HC 3 BOX 29242-12, AGUADA, PR 00602-9740
(787) 219-2432
(787) 993-1793
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
17375
PR
208D00000X
General Practice Physician
Primary
ACN1156
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103209200
—
FL
Enumeration date
11/01/2008
Last updated
07/02/2019
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