Hernandez, Ivette
Hernandez, Ivette is an individual health care provider with primary practice located at 920 N John Young Pkwy , Kissimmee FL 34741-4914. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Hernandez, Ivette can be contacted via phone (407) 956-1920.Contact Information
Primary practice address
920 N John Young Pkwy
Kissimmee FL 34741-4914
Phone: (407) 956-1920
Fax: (407) 271-8436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME54314 | Florida |
Profile Details
| NPI number | 1629066295 |
|---|---|
| LBN Legal business name | Hernandez, Ivette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2005 |
| Last updated | Oct 27th, 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 | 1629066295 | NPPES |
| Florida | Other | 26596 | BCBS |
| Florida | MEDICAID | 273605500 | BCBS |
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