Individual
DR. EILEEN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21644 FL-7, BOCA RATON, FL 33248-2948
(561) 488-8000
(407) 868-8495
Mailing address
PO BOX 25317, TAMPA, FL 33622-5317
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME106840
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002561200
—
FL
01
—
DM615Z
MEDICARE
FL
Enumeration date
10/01/2008
Last updated
01/08/2021
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