Milagros Socooro Hernandez
Developmental Therapist in Lake Placid, FL. Individual provider (NPI-1).
NPI number1508106907
StatusActive
Last updated in NPPESJan 17, 2020
Details
- NPI
- 1508106907
- Entity type
- Individual (NPI-1)
- Name
- Ms. Milagros Socooro Hernandez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 21, 2013
- Certification date
- Jan 17, 2020
- Last updated
- Jan 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | – | FL | Yes |
| 104100000X | Social Worker | – | – |
Practice location
414 Nichele BlvdLake Placid, FL 33852-8995
Phone 863-243-2728
Mailing address
414 Nichele BlvdLake Placid, FL 33852-8995
Phone 863-243-2728
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