George Hernandez
Clinic/Center, Student Health in St Petersburg, FL. Individual provider (NPI-1).
NPI number1164040473
StatusActive
Last updated in NPPESJul 13, 2020
Details
- NPI
- 1164040473
- Entity type
- Individual (NPI-1)
- Name
- Mr. George Hernandez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 13, 2020
- Certification date
- Jul 13, 2020
- Last updated
- Jul 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS1000X | Clinic/Center, Student Health | – | FL | Yes |
Practice location
3251 3rd Ave NSt Petersburg, FL 33713-8506
Phone 727-321-3854
Mailing address
3251 3rd Ave NSt Petersburg, FL 33713-8506
Phone 727-321-3854
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