Individual
CARLOS A HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5739 RIDGESTONE DR, TAMPA, FL 33625-3279
(813) 203-9277
(813) 887-3708
Mailing address
5739 RIDGESTONE DR, TAMPA, FL 33625-3279
(813) 203-9277
(813) 887-3708
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL13160
FL
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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