Individual
DR. DIANA Z HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9400 TURKEY LAKE RD, MP 452, ORLANDO, FL 32819-8001
(321) 843-5500
(321) 843-5550
Mailing address
9400 TURKEY LAKE RD, MP 452, ORLANDO, FL 32819-8001
(321) 843-5500
(321) 843-5550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME88237
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268772100
—
FL
01
—
294567
AVMED
FL
01
—
37623
BCBS
FL
01
—
ME88237
MEDICAL LICENSE
FL
01
—
P00138843
RR MEDICARE
FL
Enumeration date
02/16/2006
Last updated
11/11/2016
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