Individual
MR. JORGE ELIAS HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L, CAPS
Contact information
Practice address
4500 SAN PABLO RD S FL 32224, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
6814 EAST RD, JACKSONVILLE, FL 32216-5117
(786) 226-4291
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18738
FL
Other
Enumeration date
08/24/2018
Last updated
01/03/2022
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