Individual
MARIA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12555 ORANGE DR, SUITE 222, DAVIE, FL 33330-4304
(954) 785-4803
Mailing address
1333 SW 21ST LN, FT LAUDERDALE, FL 33312-4057
(954) 785-4803
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001298700
—
FL
Enumeration date
01/26/2011
Last updated
01/26/2011
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