Individual
JORGE DANIEL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
14330 SW 154TH PL, MIAMI, FL 33196-6048
(305) 984-8387
Mailing address
14330 SW 154TH PL, MIAMI, FL 33196-6048
(305) 984-8387
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9117279
FL
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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