Individual
MRS. MYRIAM A HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1050 W CARROLL ST, KISSIMMEE, FL 34741-1268
(407) 518-0078
(407) 518-0094
Mailing address
1050 W CARROLL ST, KISSIMMEE, FL 34741-1268
(407) 518-0078
(407) 518-0094
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
8198
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720063068
—
FL
Enumeration date
12/09/2005
Last updated
03/19/2015
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