Organization
MARK A HERNANDEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A HERNANDEZ MD (PRESIDENT)
(786) 282-8983
Entity
Organization
Contact information
Practice address
4101 NW 4TH ST, SUITE 208, PLANTATION, FL 33317-2850
(954) 792-0400
(305) 598-6536
Mailing address
12355 SW 76TH ST, MIAMI, FL 33183-3601
(786) 282-8983
(305) 225-9011
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME83014
FL
Other
Enumeration date
05/10/2007
Last updated
09/29/2011
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