Hernandez, Mabel
Hernandez, Mabel is an individual health care provider with primary practice located at 7737 N University Dr Ste 107 , Tamarac FL 33321-2968. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Hernandez, Mabel can be contacted via phone (954) 720-0056.Contact Information
Primary practice address
7737 N University Dr Ste 107
Tamarac FL 33321-2968
Phone: (954) 720-0056
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME49255 | Florida |
Profile Details
| NPI number | 1205163714 |
|---|---|
| LBN Legal business name | Hernandez, Mabel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2009 |
| Last updated | Nov 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205163714 | NPPES |
| Florida | MEDICAID | 051555800 |
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