Individual
JERRY HERNANDEZ SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP, FNP-ACAGNP
Contact information
Practice address
3691 TAMIAMI TRL, PUNTA GORDA, FL 33950-7228
(941) 876-8486
Mailing address
130 E MARION AVE UNIT 511323, PUNTA GORDA, FL 33951-3662
(941) 876-8486
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9335689
FL
Other
Enumeration date
02/07/2017
Last updated
09/09/2021
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