Hernandez, Mark Antonio
Hernandez, Mark Antonio is an sole proprietor health care provider with primary practice located at 2387 W 68Th St Suite 303, Hialeah FL 33016-6889. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as his primary health care specialty. Hernandez, Mark Antonio can be contacted via phone (954) 792-0400.Contact Information
Primary practice address
2387 W 68Th St Suite 303
Hialeah FL 33016-6889
Phone: (954) 792-0400
Fax: (305) 598-6536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | ME83014 | Florida |
Profile Details
| NPI number | 1477627602 |
|---|---|
| LBN Legal business name | Hernandez, Mark Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Apr 3rd, 2014 - about 10 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 | 1477627602 | NPPES |
| Florida | MEDICAID | 268434900 |
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