Jorge L Hernandez MD PA

NPI #1063477420 in Bradenton, Florida

Provider Information

NPI Number: 1063477420
Entity Type: Organization
Organization Name: Jorge L Hernandez MD PA
Primary Specialty: Internal Medicine
Enumeration Date: Apr 19, 2006
Last Updated: May 24, 2010

Practice Location

Address: 250 2ND ST E
Address 2: SUITE 3B
City: Bradenton
State: Florida
ZIP Code: 34208-1029
Phone: (941) 746-4151

Authorized Official

Name: DR. JORGE L. HERNANDEZ, M.D.
Title: OWNER
Phone: (941) 746-4151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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