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Organization

ROBERT J HERNANDEZ MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT J HERNANDEZ MD (PRESIDENT)
(786) 348-5921
Entity
Organization

Contact information

Practice address
9240 SW 72ND ST STE 241, MIAMI, FL 33173-3265
(305) 271-1919
(305) 271-1911
Mailing address
15421 SW 82ND AVE, PALMETTO BAY, FL 33157-2215
(786) 348-5921
(305) 271-2412

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME93218
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AL143
MEDICARE GROUP NUMBER
FL
Enumeration date
05/06/2008
Last updated
06/08/2020
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