ILDEFONSO HERNANDEZ

MIAMI LAKES, FL
NPI1184136566
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  26504)
Enumeration Date2017-10-25
Last Update Date2017-10-25
Business Address
ILDEFONSO HERNANDEZ PTA
14411 COMMERCE WAY
MIAMI LAKES, FL 33016-1596
Phone number: 305-625-8844
Mailing Address
ILDEFONSO HERNANDEZ PTA
640 NE 1ST PL
HIALEAH, FL 33010-5044
Phone number: 786-343-0773
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