Hernandez, Adan Fernando
Hernandez, Adan Fernando is an individual health care provider with primary practice located at 1800 Se Tiffany Ave , Port St Lucie FL 34952. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Hernandez, Adan Fernando can be contacted via phone (772) 237-0813.Contact Information
Primary practice address
1800 Se Tiffany Ave
Port St Lucie FL 34952
Phone: (772) 237-0813
Fax: (772) 238-2004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 21755 | Wisconsin |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 7500 | Hawaii |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 21755 | Wisconsin |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | TRN28190 | Florida |
Profile Details
| NPI number | 1043709850 |
|---|---|
| LBN Legal business name | Hernandez, Adan Fernando |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2018 |
| Last updated | May 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043709850 | NPPES |
| Wisconsin | MEDICAID | 100194110 |
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