Hernandez, Jorge

Hernandez, Jorge is an individual health care provider with primary practice located at 3410 W 84Th St Ste 100 , Hialeah FL 33018-4906. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Hernandez, Jorge can be contacted via phone (305) 667-5683.

Contact Information

Primary practice address
3410 W 84Th St Ste 100 Hialeah FL 33018-4906
Phone: (305) 667-5683
Fax: (305) 826-7774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3424 Florida

Profile Details

NPI number 1104069079
LBN Legal business name Hernandez, Jorge
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2009
Last updated Oct 18th, 2018 - about 7 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 1104069079 NPPES
Florida Other PO3424 FLORIDA LICENCE

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