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1164545620
SHANE C HERNESMAN MD PA
COCOA, FL
NPI
1164545620
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Entity Type
Organization
Authorized Contact
SHANE C HERNESMAN
President
321-631-4940
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME83457)
Enumeration Date
2007-04-09
Last Update Date
2020-08-22
Business Address
SHANE C HERNESMAN MD PA
505 DELANNOY AVE
COCOA, FL 32922-7813
Phone number: 321-631-4940
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Mailing Address
SHANE C HERNESMAN MD PA
505 DELANNOY AVE
COCOA, FL 32922-7813
Phone number: 321-631-4940
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