Individual
EMILY T. HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1717 S ORANGE AVE STE 100, ORLANDO, FL 32806-2946
(407) 650-7715
(407) 650-7124
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4201
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
ARNP9278875
FL
363L00000X
Nurse Practitioner
Primary
ARNP9278875
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007242100
—
FL
Enumeration date
11/05/2012
Last updated
02/06/2018
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