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Individual

MR. ELISEO T HERNANDEZ JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.N

Contact information

Practice address
703 N FLAMINGO RD, PEMBROKE PINES, FL 33028-1006
(954) 433-7130
Mailing address
1481 NW 159TH AVE, PEMBROKE PINES, FL 33028-1671
(954) 447-3307

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN#2792532
FL

Other

Enumeration date
03/26/2007
Last updated
07/08/2007
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