Individual
LUIS HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10290 SW 6TH ST, MIAMI, FL 33174-1762
(305) 994-4318
Mailing address
10290 SW 6TH ST, MIAMI, FL 33174-1762
(305) 994-4318
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
33106
FL
Other
Enumeration date
10/23/2023
Last updated
10/27/2023
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