Hernandez, Teresa

Hernandez, Teresa is an individual health care provider with primary practice located at 1184 Ocean Shore Blvd , Ormond Beach FL 32176-3763. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hernandez, Teresa can be contacted via phone (386) 481-6102.

Contact Information

Primary practice address
1184 Ocean Shore Blvd Ormond Beach FL 32176-3763
Phone: (386) 481-6102
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0058189 Florida

Profile Details

NPI number 1043217763
LBN Legal business name Hernandez, Teresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Mar 19th, 2021 - about 3 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 1043217763 NPPES
Florida Other P01319584 RAILROAD
Florida Other 1043217763 RAILROAD
Florida Other 8282853 RAILROAD
Florida MEDICAID 376654300 RAILROAD
Florida Other 5915650 RAILROAD
Florida Other 1043217763 RAILROAD
Florida Other 25831 RAILROAD

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