RAFAEL HERNANDEZ

PORT SAINT LUCIE, FL
NPI1417407958
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207QA0401X Family Medicine, Addiction Medicine
(Licence: FL  ME83014)
Enumeration Date2016-10-07
Last Update Date2016-10-07
Business Address
Mr. RAFAEL HERNANDEZ
10570 S US HIGHWAY 1 SUITE 102
PORT SAINT LUCIE, FL 34952-5606
Phone number: 772-828-6992
Mailing Address
Mr. RAFAEL HERNANDEZ
10570 S US HIGHWAY 1 SUITE 102
PORT SAINT LUCIE, FL 34952-5606
Phone number: 772-828-6992
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