Individual
THAIMY HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7575 W FLAGLER ST STE 200, MIAMI, FL 33144-2467
(305) 377-3297
Mailing address
24974 SW 128TH PL, HOMESTEAD, FL 33032-9013
(786) 409-9595
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCM100120
FL
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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