Individual
BRIAN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 W UNDERWOOD ST FL 4, ORLANDO, FL 32806-1110
(321) 841-7171
(321) 843-6285
Mailing address
22 W UNDERWOOD ST FL 4, ORLANDO, FL 32806-1110
(321) 841-7171
(321) 843-6285
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
A179274
CA
207Y00000X
Otolaryngology Physician
ME164061
FL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
ME164061
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119665600
—
FL
Enumeration date
04/10/2017
Last updated
04/29/2024
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