Individual
MARCOS ANTONIO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
395 SOFIA LN, LAKE ALFRED, FL 33850-2561
(407) 319-2584
Mailing address
395 SOFIA LN, LAKE ALFRED, FL 33850-2561
(407) 319-2584
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9627465
FL
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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