Individual
MRS. MICHELLE M HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2560 GULF TO BAY BLVD, SUITE 100, CLEARWATER, FL 33765-4421
(727) 799-3772
(727) 791-6598
Mailing address
2560 GULF TO BAY BLVD, SUITE 100, CLEARWATER, FL 33765-4421
(727) 799-3772
(727) 791-6598
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 2600
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078935600
—
FL
Enumeration date
07/24/2006
Last updated
03/23/2017
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