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Individual

ROBERT J HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9240 SW 72ND ST, SUITE 241, MIAMI, FL 33173-3261
(305) 271-1919
(305) 271-1911
Mailing address
15421 SW 82ND AVE, VILLAGE OF PALMETTO BAY, FL 33157-2215
(786) 348-5921
(305) 271-2412

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME93278
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
29304X
MEDICARE PTAN
FL
Enumeration date
06/12/2006
Last updated
06/08/2020
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