Individual
ODEL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19823NW 78TH PL, HIALEAH, FL 33015
(305) 767-5931
Mailing address
19823 NW 78TH PL, HIALEAH, FL 33015-6646
(305) 767-5931
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
NE-46147
FL
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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