Hernandez, Jorge L.

Hernandez, Jorge L. is an sole proprietor health care provider with primary practice located at 250 2Nd Street East Suite 3B, Bradenton FL 34208-1029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hernandez, Jorge L. can be contacted via phone (941) 746-4151.

Contact Information

Primary practice address
250 2Nd Street East Suite 3B Bradenton FL 34208-1029
Phone: (941) 746-4151
Fax: (941) 746-4345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME72848 Florida

Profile Details

NPI number 1932192325
LBN Legal business name Hernandez, Jorge L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2005
Last updated Mar 26th, 2015 - about 11 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 1932192325 NPPES
Florida Other 200472730 TAX ID
Florida MEDICAID 251982800 TAX ID
Florida Other 41619 TAX ID
Florida Other P00121898 TAX ID

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