Individual
DR. BRENDA HERNANDEZ REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
672 SW PRIMA VISTA BLVD STE 101, PORT ST LUCIE, FL 34983-1820
(772) 905-2555
Mailing address
PO BOX 69, JUPITER, FL 33468-0069
(787) 415-9704
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
17228
PR
208D00000X
General Practice Physician
Primary
ACN919
FL
Other
Enumeration date
09/04/2008
Last updated
01/07/2019
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