Organization
MANUEL H HERNANDEZ M D P A
Active
Organization
MANUEL H HERNANDEZ M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL HERNANDEZ M.D. (PRESIDENT)
(941) 764-7773
Entity
Organization
Contact information
Practice address
4235 KINGS HWY, SUITE 101, PUNTA GORDA, FL 33980-8415
(941) 764-7773
(941) 764-7681
Mailing address
4235 KINGS HWY UNIT 101, PUNTA GORDA, FL 33980-8421
(941) 764-7773
(941) 764-7681
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0076069
FL
207ND0101X
MOHS-Micrographic Surgery Physician
0076069
FL
207ND0900X
Dermatopathology Physician
0076069
FL
207NP0225X
Pediatric Dermatology Physician
0076069
FL
207NS0135X
Procedural Dermatology Physician
0076069
FL
Other
Enumeration date
03/24/2007
Last updated
10/06/2023
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