Individual
JOSE A HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
6221 NW 36TH ST, VIRGINIA GARDENS, FL 33166-7026
(305) 871-3627
(305) 871-7569
Mailing address
4483 NW 36TH ST, SUITE 120, MIAMI SPRINGS, FL 33166-7260
(305) 888-7555
(305) 888-7410
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9100809
FL
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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