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Individual

DR. LEONEL FERNANDO HERNANDEZ AYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1475 NW 12TH AVE FL 2, MIAMI, FL 33136-1002
(305) 243-5302
(305) 243-9161
Mailing address
1475 NW 12TH AVE FL 2, MIAMI, FL 33136-1002
(305) 243-5302
(305) 243-9161

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
ME149894
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ENROLLED
IL
Enumeration date
07/20/2009
Last updated
09/08/2023
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