Individual
CARLOS HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26061 S DIXIE HWY, NARANJA, FL 33032-6613
(786) 504-2256
(786) 650-2112
Mailing address
26061 S DIXIE HWY, NARANJA, FL 33032-6613
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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