Individual
CAESAR M HERNANDEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11040 S MILITARY TRL, BOYNTON BEACH, FL 33436-7217
(561) 734-9998
Mailing address
11040 S MILITARY TRL, BOYNTON BEACH, FL 33436-7217
(561) 734-9998
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS2735
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
610243300
—
FL
01
—
N453864
WELL CARE
FL
Enumeration date
02/15/2007
Last updated
11/24/2010
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