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Individual

JOSE L HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
8000 SW 210TH ST APTO 204, CUTLER BAY, FL 33189-4035
(786) 768-1476
(305) 328-9638
Mailing address
8000 SW 210TH ST APTO 204, CUTLER BAY, FL 33189-4035
(786) 768-1476
(305) 328-9638

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
FL

Other

Enumeration date
01/13/2012
Last updated
01/13/2012
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