Individual
ALEXANDER G HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4110 MANATEE AVE W, BRADENTON, FL 34205-1719
(941) 748-8383
(941) 748-8484
Mailing address
315 75TH ST W, BRADENTON, FL 34209-3201
(941) 761-1998
(941) 748-8484
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7722
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2103654
FIRST HEALTH INDIV PROV #
FL
05
—
890853200
—
FL
01
—
Y6294
BCBS INDIV PROV NUM
FL
Enumeration date
06/12/2006
Last updated
02/10/2012
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