Kerry Hernandez
NPI #1215220504 in Ridge Manor, Florida
Provider Information
- NPI Number
- 1215220504
- Entity Type
- Individual
- Name
- Kerry Hernandez
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- May 19, 2011
- Last Updated
- May 19, 2011
Practice Location
- Address
- 33279 PENNSYLVANIA AVE
- City
- Ridge Manor
- State
- Florida
- ZIP Code
- 33523-9041
- Phone
- (352) 346-8029
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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