Individual
CLAUDIA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4123 N ARMENIA AVE, TAMPA, FL 33607-6433
(813) 374-9205
Mailing address
PO BOX 15621, TAMPA, FL 33684-5621
(813) 293-2527
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
MA69666
FL
Other
Enumeration date
08/17/2012
Last updated
08/17/2012
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