Hernandez, Matthew Justin
Hernandez, Matthew Justin is an individual health care provider with primary practice located at 9441 Health Center Dr , Land O Lakes FL 34637-5837. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Hernandez, Matthew Justin can be contacted via phone (813) 903-3700.Contact Information
Primary practice address
9441 Health Center Dr
Land O Lakes FL 34637-5837
Phone: (813) 903-3700
Fax: (813) 615-8337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | OS15407 | Florida |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | TP978 | Kentucky |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | OS15407 | Florida |
Profile Details
| NPI number | 1053755579 |
|---|---|
| LBN Legal business name | Hernandez, Matthew Justin |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2013 |
| Last updated | Jan 9th, 2024 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053755579 | NPPES |
| Florida | MEDICAID | 100073500 |
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