Individual
MARTHA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
218 9TH STREET DR W, PALMETTO, FL 34221-4802
(941) 721-3900
Mailing address
218 9TH STREET DR W, PALMETTO, FL 34221-4802
(941) 721-3900
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
PA9108017
FL
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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