Individual
ANGEL WILFREDO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 6TH AVE S, SAINT PETERSBURG, FL 33701-4634
(727) 898-7451
Mailing address
501 6TH AVE S, SAINT PETERSBURG, FL 33701-4634
(727) 898-7451
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
32763
NE
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
4301065634
MI
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
ME164141
FL
Other
Enumeration date
10/02/2006
Last updated
01/10/2024
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