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1306336912
CARLOS A HERNANDEZ
TAMPA, FL
NPI
1306336912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
310400000X Assisted Living Facility
(Licence: FL AL13160)
Enumeration Date
2018-05-18
Last Update Date
2018-05-18
Business Address
CARLOS A HERNANDEZ
5739 RIDGESTONE DR
TAMPA, FL 33625-3279
Phone number: 813-203-9277
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Mailing Address
CARLOS A HERNANDEZ
5739 RIDGESTONE DR
TAMPA, FL 33625-3279
Phone number: 813-203-9277
Copy
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