Chacon Hernandez, Lourdes

Chacon Hernandez, Lourdes is an sole proprietor health care provider with primary practice located at 3501 Johnson St Fl 1 , Hollywood FL 33021-5421. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Behavioral Health & Social Service Providers / Behavior Technician, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Chacon Hernandez, Lourdes can be contacted via phone (954) 265-4325.

Contact Information

Primary practice address
3501 Johnson St Fl 1 Hollywood FL 33021-5421
Phone: (954) 265-4325
Fax: (954) 450-4422
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN9551811 Florida
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-18-70812 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11024442 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11024442 Florida

Profile Details

NPI number 1265998801
LBN Legal business name Chacon Hernandez, Lourdes
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2019
Last updated Feb 9th, 2026 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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