Organization
CECILIO HERNANDEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CECILIO HERNANDEZ MD (PRESIDENT)
(813) 657-0027
Entity
Organization
Contact information
Practice address
4102 N MACDILL AVE, TAMPA, FL 33607-6717
(813) 657-0027
(813) 877-1609
Mailing address
4102 N MACDILL AVE, TAMPA, FL 33607-6717
(813) 657-0027
(813) 877-1609
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME0068187
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378115100
—
FL
Enumeration date
06/03/2008
Last updated
06/09/2008
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