Hernandez, Cecilio

Hernandez, Cecilio is an sole proprietor health care provider with primary practice located at 4102 N Macdill Ave , Tampa FL 33607-6717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Hernandez, Cecilio can be contacted via phone (813) 657-0027.

Contact Information

Primary practice address
4102 N Macdill Ave Tampa FL 33607-6717
Fax: (813) 877-1609
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME68187 Florida

Profile Details

NPI number 1336298892
LBN Legal business name Hernandez, Cecilio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2007
Last updated Feb 24th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336298892 NPPES
Florida MEDICAID 378115100

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