Hernandez, Myriam A

Hernandez, Myriam A is an individual health care provider with primary practice located at 1050 W Carroll St , Kissimmee FL 34741-1268. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hernandez, Myriam A can be contacted via phone (407) 518-0078.

Contact Information

Primary practice address
1050 W Carroll St Kissimmee FL 34741-1268
Phone: (407) 518-0078
Fax: (407) 518-0094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 8198 Puerto Rico

Profile Details

NPI number 1720063068
LBN Legal business name Hernandez, Myriam A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Mar 19th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720063068 NPPES
Florida MEDICAID 1720063068

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