Hernandez, Antonio Miguel

Hernandez, Antonio Miguel is an individual health care provider with primary practice located at 8150 Chancellor Dr Suite 110, Orlando FL 32809-7691. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Hernandez, Antonio Miguel can be contacted via phone (407) 587-4243.

Contact Information

Primary practice address
8150 Chancellor Dr Suite 110 Orlando FL 32809-7691
Phone: (407) 587-4243
Fax: (407) 251-5053
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME68082 Florida
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X ME68082 Florida

Profile Details

NPI number 1154300176
LBN Legal business name Hernandez, Antonio Miguel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated May 1st, 2015 - about 9 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 1154300176 NPPES
Florida MEDICAID 265412100

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