Hernandez, Brian

Hernandez, Brian is an individual health care provider with primary practice located at 22 W Underwood St Fl 4 , Orlando FL 32806-1110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck. Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck is his primary health care specialty. Hernandez, Brian can be contacted via phone (321) 841-7171.

Contact Information

Primary practice address
22 W Underwood St Fl 4 Orlando FL 32806-1110
Phone: (321) 841-7171
Fax: (321) 843-6285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X A179274 California
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME164061 Florida
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X ME164061 Florida

Profile Details

NPI number 1417480013
LBN Legal business name Hernandez, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2017
Last updated Apr 29th, 2024 - about 8 months 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 1417480013 NPPES
Florida MEDICAID 119665600

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