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Individual

FELIX HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
4531 SW 5TH TER, CORAL GABLES, FL 33134-1919
(786) 547-9081
Mailing address
4531 SW 5TH TER, CORAL GABLES, FL 33134-1919
(786) 547-9081

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21943
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
21943
FL
Enumeration date
02/03/2020
Last updated
02/03/2020
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