Hernandez Pons, Edgardo Antonio
Hernandez Pons, Edgardo Antonio is an sole proprietor health care provider with primary practice located at 450 E Merritt Cswy Ste E-600 , Merritt Island FL 32952-3503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hernandez Pons, Edgardo Antonio can be contacted via phone (321) 452-4470.Contact Information
Primary practice address
450 E Merritt Cswy Ste E-600
Merritt Island FL 32952-3503
Phone: (321) 452-4470
Fax: (321) 452-4442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME118572 | Florida |
Profile Details
| NPI number | 1568693034 |
|---|---|
| LBN Legal business name | Hernandez Pons, Edgardo Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2009 |
| Last updated | Oct 10th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568693034 | NPPES |
| Florida | Other | HY475Z | MEDICARE |
| Florida | Other | M5347 | MEDICARE |
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