Individual
ANNETTE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 PARK PLACE BLVD, KISSIMMEE, FL 34741-2345
(800) 378-7597
(877) 399-5578
Mailing address
1190 MUZANO ST APT B212, KISSIMMEE, FL 34741-0969
(407) 729-5756
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
FL
252Y00000X
Early Intervention Provider Agency
Primary
1548739378
FL
Other
Enumeration date
11/21/2018
Last updated
03/01/2019
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