Individual
MISS ANTONIA CARIDAD HERNANDEZ IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
30342 OLD DIXIE HWY, HOMESTEAD, FL 33033-3215
(305) 246-3828
Mailing address
PO BOX 830021, MIAMI, FL 33283-0021
(786) 280-5980
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA016460
FL
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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