Individual
MIGUEL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CBHCM
Contact information
Practice address
11914 SW 247TH TER, HOMESTEAD, FL 33032-3029
(786) 562-3870
Mailing address
11914 SW 247TH TER, HOMESTEAD, FL 33032-3029
(786) 562-3870
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
CBHCM.0106070
FL
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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