Individual
ILIET HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
20009 NW 86TH CT, HIALEAH, FL 33015-6925
(786) 542-7535
Mailing address
20009 NW 86TH CT, HIALEAH, FL 33015-6925
(786) 542-7535
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F02240067
FL
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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