Individual
RAUL F HERNANDEZ RUBIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4101 EVANS AVE, FORT MYERS, FL 33901-9310
(941) 792-2020
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
(864) 359-1308
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
20A20884
CA
207W00000X
Ophthalmology Physician
Primary
OS20850
FL
207WX0109X
Neuro-ophthalmology Physician
OS20850
FL
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
OS20850
FL
Other
Enumeration date
03/17/2019
Last updated
04/23/2026
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