Individual
MR. RAFAEL HERNANDEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10570 S US HIGHWAY 1, SUITE 102, PORT SAINT LUCIE, FL 34952-5606
(772) 828-6992
Mailing address
10570 S US HIGHWAY 1, SUITE 102, PORT SAINT LUCIE, FL 34952-5606
(772) 828-6992
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
ME83014
FL
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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