Individual
BROOKE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1120 BAYVIEW DR, FORT LAUDERDALE, FL 33304-2505
(954) 537-4106
Mailing address
571 NW 205TH AVE, PEMBROKE PINES, FL 33029-3476
(954) 330-2451
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9113972
FL
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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