Individual
MICHAEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10400 GRIFFIN RD STE 201, DAVIE, FL 33328-3321
(954) 947-1130
(754) 315-2744
Mailing address
9441 SW 50TH ST, COOPER CITY, FL 33328-4142
(954) 947-1130
(754) 315-2744
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11036021
FL
Other
Enumeration date
10/19/2024
Last updated
03/06/2026
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