Individual
EDWIN NIEVES HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
339 CYPRESS PKWY STE 250, KISSIMMEE, FL 34759-3315
(407) 910-1595
(407) 910-1577
Mailing address
339 CYPRESS PKWY STE 250, KISSIMMEE, FL 34759-3315
(407) 910-1595
(407) 910-7577
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
21123
PR
208D00000X
General Practice Physician
Primary
ACN1233
FL
Other
Enumeration date
02/07/2017
Last updated
08/24/2022
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