Individual
JONATHAN M HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 COLUMBIA DR, J402, TAMPA, FL 33606-3508
(813) 844-7412
Mailing address
200 MEMORIAL AVE, WESTMINSTER, MD 21157-5726
(410) 848-3000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D85426
MD
390200000X
Student in an Organized Health Care Education/Training Program
TRN8889
FL
Other
Enumeration date
10/16/2007
Last updated
02/09/2022
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