Individual
JULIO A HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MMSC, MAE, PA-C, ATC
Contact information
Practice address
25 W CRYSTAL LAKE ST STE 200, ORLANDO, FL 32806-4476
(407) 254-2500
Mailing address
25 W CRYSTAL LAKE ST STE 200, ORLANDO, FL 32806-4476
(407) 254-2500
(407) 423-2789
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
—
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9111074
FL
Other
Enumeration date
01/30/2008
Last updated
03/19/2018
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