Dr Richard Hernandez, MD | |
6100 Minton Rd Nw Ste 104, Palm Bay, FL 32907-1900 | |
(321) 724-1172 | |
(321) 984-7695 |
Full Name | Dr Richard Hernandez |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 6100 Minton Rd Nw Ste 104, Palm Bay, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194701540 | NPI | - | NPPES |
252234900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME58637 (Florida) | Primary |
Entity Name | Omni Healthcare, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134191323 PECOS PAC ID: 5496652380 Enrollment ID: O20031218000059 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard Hernandez, MD 95 Bulldog Blvd Ste 202, Melbourne, FL 32901-3188 Ph: (321) 727-2990 | Dr Richard Hernandez, MD 6100 Minton Rd Nw Ste 104, Palm Bay, FL 32907-1900 Ph: (321) 724-1172 |
Rebecca Fobes, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 442 New Ave Ne, Palm Bay, FL 32907 Phone: 321-282-1499 Fax: 321-256-6212 | |
Dr. Jose L Garcia, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1810 Eldron Blvd Se, Palm Bay, FL 32909 Phone: 321-434-3430 Fax: 321-434-3432 | |
Dr. Thomas L Garvin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5270 Babcock St Ne, Ste 1, Palm Bay, FL 32905 Phone: 321-722-5959 Fax: 321-722-5960 | |
Dr. Ming Tao Lai, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 Malabar Rd Se, Ste 2, Palm Bay, FL 32907 Phone: 321-768-2356 Fax: 321-726-6388 | |
Mr. German Castro, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1091 Port Malabar Blvd Ne Suite-1, Palm Bay, FL 32905 Phone: 321-728-7222 Fax: 321-728-8823 | |
Frederick Peterson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6100 Minton Rd Nw, Ste104, Palm Bay, FL 32907 Phone: 321-724-1172 Fax: 321-724-9024 |