Individual
EDGARDO ANTONIO HERNANDEZ PONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 E MERRITT CSWY STE E-600, MERRITT ISLAND, FL 32952-3503
(321) 452-4470
(321) 452-4442
Mailing address
PO BOX 1042, COCOA, FL 32923-1042
(321) 266-8441
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME118572
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HY475Z
MEDICARE
FL
01
—
M5347
MEDICARE HF
FL
Enumeration date
08/02/2009
Last updated
10/10/2024
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