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1205337623
AMALIA HERNANDEZ
DAVIE, FL
NPI
1205337623
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: FL H655-00-76-783-0)
Enumeration Date
2018-02-21
Last Update Date
2018-02-21
Business Address
AMALIA HERNANDEZ N/A
10550 W STATE ROAD 84 LOT 380
DAVIE, FL 33324-4230
Phone number: 786-488-0264
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Mailing Address
AMALIA HERNANDEZ N/A
10550 W STATE ROAD 84 LOT 380
DAVIE, FL 33324-4230
Phone number: 786-488-0264
Copy
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