Individual
DR. ANTHONY DAVID HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5301 S CONGRESS AVE, ATLANTIS, FL 33462-1149
(877) 832-2652
(800) 792-9021
Mailing address
22171 CLOCKTOWER WAY, BOCA RATON, FL 33428-4640
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME157748
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN31036
FL
Other
Enumeration date
06/07/2020
Last updated
05/22/2023
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