Individual
DR. NILDAMARYS HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1495 BUDINGER AVE, SAINT CLOUD, FL 34769-4157
(407) 593-9890
(407) 910-4795
Mailing address
6675 WESTWOOD BLVD, STE 475, ORLANDO, FL 32821-6027
(407) 845-0330
(888) 972-1752
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
14362
PR
208D00000X
General Practice Physician
Primary
ACN772
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14362
MEDICAL LICENSE
PR
01
—
ACN772
MEDICAL LICENSE NUMBER
FL
Enumeration date
02/26/2007
Last updated
05/31/2023
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