Individual
JEROME M HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7400 N KENDALL DR, SUITE 110, MIAMI, FL 33156-7706
(305) 670-6060
(305) 670-0678
Mailing address
7400 N KENDALL DR, SUITE 110, MIAMI, FL 33156-7706
(305) 670-6060
(305) 670-0678
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP 2362
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078969100
—
FL
Enumeration date
08/03/2006
Last updated
10/22/2010
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