Hernandez, Joseph

Hernandez, Joseph is an individual health care provider with primary practice located at 826 Sw Main Blvd Ste 102 , Lake City FL 32025-5742. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Hernandez, Joseph can be contacted via phone (386) 754-0600.

Contact Information

Primary practice address
826 Sw Main Blvd Ste 102 Lake City FL 32025-5742
Phone: (386) 754-0600
Fax: (386) 755-9737
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME44356 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME44356 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME44356 Florida

Profile Details

NPI number 1821168378
LBN Legal business name Hernandez, Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Dec 18th, 2009 - about 15 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 1821168378 NPPES
Florida MEDICAID 277541700
Florida Other 94525
Florida Other ME44356

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