Individual
MR. GREGORY HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8383 N DAVIS HWY, PENSACOLA, FL 32514-6039
(850) 494-4200
Mailing address
1430 LEMHURST RD, PENSACOLA, FL 32507-3539
(850) 981-6460
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
568882
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002303802
—
TX
01
—
84397U
BCBS
TX
Enumeration date
07/10/2006
Last updated
11/03/2010
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