Individual
MR. GRETTY HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3901 E COLONIAL DR, SUITE E, ORLANDO, FL 32803-5245
(407) 447-5971
(407) 447-5985
Mailing address
3901 E COLONIAL DR, SUITE E, ORLANDO, FL 32803-5245
(407) 447-5971
(407) 447-5985
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5169591
FL
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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