Hernandez, Alexander G

Hernandez, Alexander G is an individual health care provider with primary practice located at 4110 Manatee Ave W , Bradenton FL 34205-1719. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Hernandez, Alexander G can be contacted via phone (941) 748-8383.

Contact Information

Primary practice address
4110 Manatee Ave W Bradenton FL 34205-1719
Phone: (941) 748-8383
Fax: (941) 748-8484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT7722 Florida

Profile Details

NPI number 1649212762
LBN Legal business name Hernandez, Alexander G
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Feb 10th, 2012 - about 14 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649212762 NPPES
Florida Other Y6294 BCBS INDIV PROV NUM
Florida Other 2103654 BCBS INDIV PROV NUM
Florida MEDICAID 890853200 BCBS INDIV PROV NUM

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