Individual
BRANDON HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3613 NW 63RD CT, COCONUT CREEK, FL 33073-2066
(754) 265-6836
Mailing address
3613 NW 63RD CT, COCONUT CREEK, FL 33073-2066
(754) 265-6836
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
45929
FL
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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