Individual
MR. BAYARDO JOSE HERNANDEZ ROCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MMS, PA-C
Contact information
Practice address
430 76TH ST APT 4, MIAMI BEACH, FL 33141-2300
(786) 277-2777
Mailing address
430 76TH ST APT 4, MIAMI BEACH, FL 33141-2300
(786) 277-2777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9110845
FL
Other
Enumeration date
04/15/2018
Last updated
04/15/2018
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