Shane C Hernesman MD PA

NPI #1164545620 in Cocoa, Florida

Provider Information

NPI Number
1164545620
Entity Type
Organization
Organization Name
Shane C Hernesman MD PA
Primary Specialty
Family Medicine
Enumeration Date
Apr 9, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
505 DELANNOY AVE
City
Cocoa
State
Florida
ZIP Code
32922-7813
Phone
(321) 631-4940

Authorized Official

Name
DR. SHANE C HERNESMAN, MD
Title
PRESIDENT
Phone
(321) 631-4940

Specialties & Taxonomy Codes

Specialty
Family Medicine

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