Hernandez, Otniel

Hernandez, Otniel is an individual health care provider with primary practice located at 3677 Central Ave Ste B , Fort Myers FL 33901-8226. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Hernandez, Otniel can be contacted via phone (239) 790-1263.

Contact Information

Primary practice address
3677 Central Ave Ste B Fort Myers FL 33901-8226
Phone: (239) 790-1263
Fax: (239) 790-1074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5012043 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP3081082 Florida

Profile Details

NPI number 1003000720
LBN Legal business name Hernandez, Otniel
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2007
Last updated Mar 14th, 2023 - about last year

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 1003000720 NPPES
Florida MEDICAID 308614300

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