Individual
DR. ADAN LAZARO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4510 SHERIDAN ST, HOLLYWOOD, FL 33021-3516
(954) 893-8900
(954) 416-6633
Mailing address
4510 SHERIDAN ST, HOLLYWOOD, FL 33021-3516
(954) 893-8900
(954) 416-6633
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME72539
FL
207QA0505X
Adult Medicine Physician
ME72539
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028093
NEIGHBORHOOD HEALTH PLAN
FL
01
—
171586
JMH
FL
01
—
2020647
AETNA
TX
05
—
254674400
—
FL
01
—
303143
AVMED
FL
01
—
43395
BCBS
—
01
—
59-2466190
MEMORIAL MANAGED CARE
FL
01
—
59-2466190
UNITED HEALTHCARE INS.
UT
01
—
592466190
MEMORIAL PRIMARY
FL
01
—
592466190
TRICARE
—
01
—
9950513-001
CIGNA HEALTHCARE
—
01
—
G69397
VISTA HEALTH PLAN
FL
01
—
G914
SUMMIT
FL
Enumeration date
04/17/2006
Last updated
03/26/2021
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