Hernandez, Adan Lazaro

Hernandez, Adan Lazaro is an individual health care provider with primary practice located at 4510 Sheridan St , Hollywood FL 33021-3516. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Hernandez, Adan Lazaro can be contacted via phone (954) 893-8900.

Contact Information

Primary practice address
4510 Sheridan St Hollywood FL 33021-3516
Phone: (954) 893-8900
Fax: (954) 416-6633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X ME72539 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME72539 Florida

Profile Details

NPI number 1699739565
LBN Legal business name Hernandez, Adan Lazaro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Mar 26th, 2021 - about 3 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 1699739565 NPPES
Other 43395 BCBS
Other 2020647 BCBS
Other 59-2466190 BCBS
Other 592466190 BCBS
Other 592466190 BCBS
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Other 028093 BCBS
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Other 303143 BCBS
Other G914 BCBS
MEDICAID 254674400 BCBS
Other 59-2466190 BCBS
Other G69397 BCBS

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