Individual
ALEX HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2465 MCMULLEN-BOOTH ROAD, CLEARWATER, FL 33759
(727) 725-5224
(727) 799-2183
Mailing address
2465 MCMULLEN-BOOTH ROAD, CLEARWATER, FL 33759
(727) 725-5224
(727) 799-2183
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PA9100607
FL
363A00000X
Physician Assistant
Primary
PA9100607
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291755600
—
FL
Enumeration date
09/02/2006
Last updated
10/22/2009
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