Hernandez, Manny J
Hernandez, Manny J is an individual health care provider with primary practice located at 1255 1 Viscaya Parkway Suite 103, Cape Coral FL 33990. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Hernandez, Manny J can be contacted via phone (239) 573-6111.Contact Information
Primary practice address
1255 1 Viscaya Parkway Suite 103
Cape Coral FL 33990
Phone: (239) 573-6111
Fax: (239) 573-9534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ME0041260 | Florida |
Profile Details
| NPI number | 1548348725 |
|---|---|
| LBN Legal business name | Hernandez, Manny J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Oct 3rd, 2007 - about 17 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 | 1548348725 | NPPES |
| Other | 96487 | BCBS |
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