Individual
GABRIEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 S HARBOR CITY BLVD, MELBOURNE, FL 32901-5594
(321) 725-5050
(321) 722-2943
Mailing address
2222 S HARBOR CITY BLVD, SUITE 440, MELBOURNE, FL 32901-5594
(321) 725-5050
(321) 722-9243
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME49471
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061484000
—
FL
Enumeration date
02/17/2006
Last updated
10/24/2014
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