Individual
JOSE NOEL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
11210 SW 188TH ST, MIAMI, FL 33157-7529
(305) 884-8880
(305) 884-7740
Mailing address
11210 SW 188TH ST, MIAMI, FL 33157-7529
(305) 884-8880
(305) 884-7740
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9100229
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9100229
PHYSICIAN ASSISTANT
FL
Enumeration date
01/19/2007
Last updated
07/08/2007
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