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Individual

DR. ALFONSO HERNANDEZ SANTOS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-9180
(352) 265-8244
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 273-9180
(352) 265-8244

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
17497
MS
207RN0300X
Nephrology Physician
Primary
ME104708
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00125256
MS
Enumeration date
06/06/2006
Last updated
12/07/2011
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