Individual
ALEXANDER VALENTINE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
307 BOATNER RD, EGLIN, FL 32542-1391
(850) 883-8227
Mailing address
301 MULBERRY CT, NICEVILLE, FL 32578-3750
(850) 729-3646
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
K4915
TX
207P00000X
Emergency Medicine Physician
Primary
ME85447
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059185982
BCBS AL
AL
05
—
133225612
—
TX
05
—
133225613
—
TX
05
—
264962400
—
FL
01
—
51356
BCBS FL
FL
01
—
8K9302
BCBS
TX
01
—
8R6723
BCBS
TX
Enumeration date
09/09/2005
Last updated
06/01/2009
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