Individual
JOEL LUIS HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
651 E 25TH ST, HIALEAH, FL 33013-3878
(305) 693-6100
Mailing address
16411 SW 53RD TER, MIAMI, FL 33185-5180
(904) 377-0446
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9115723
FL
Other
Enumeration date
03/01/2022
Last updated
03/29/2023
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