Hernandez, Mark A

Hernandez, Mark A is an individual health care provider with primary practice located at 975 Baptist Way , Homestead FL 33033-7600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Hernandez, Mark A can be contacted via phone (786) 243-8073.

Contact Information

Primary practice address
975 Baptist Way Homestead FL 33033-7600
Phone: (786) 243-8073
Fax: (786) 576-0471
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME84218 Florida

Profile Details

NPI number 1881679421
LBN Legal business name Hernandez, Mark A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Jul 17th, 2024 - about 4 months 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 1881679421 NPPES
Florida Other 13085 BCBS
Florida MEDICAID 268126900 BCBS
Florida Other N220840 BCBS
Florida Other P00191950 BCBS

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