Individual
HERIDES ALINA HERNANDEZ PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6726 HANLEY RD, TAMPA, FL 33634-4739
(813) 284-7903
Mailing address
1400 NW 107TH AVE STE 500, SWEETWATER, FL 33172-2746
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1453
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
PR
Other
Enumeration date
04/22/2021
Last updated
07/21/2022
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