Individual
DR. RICHARD W HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
36021 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1531
(727) 772-1000
(727) 771-0770
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2603
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086946501
—
FL
Enumeration date
08/03/2005
Last updated
12/20/2021
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