Michael Hernandez, MD | |
3059 Edgewood Ave W, Jacksonville, FL 32209-2207 | |
(305) 628-6117 | |
Not Available |
Full Name | Michael Hernandez |
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Gender | Male |
Speciality | Internal Medicine |
Location | 3059 Edgewood Ave W, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609929405 | NPI | - | NPPES |
170121230A | Medicaid | GA | |
2813645-00 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME101094 (Florida) | Primary |
207R00000X | Internal Medicine | TRN9476 (Florida) | Secondary |
Entity Name | Luis F Anez Md Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538347380 PECOS PAC ID: 8729011820 Enrollment ID: O20050917000436 |
Entity Name | Dedicated Senior Medical Center Of Florida, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881055366 PECOS PAC ID: 4486932100 Enrollment ID: O20161101001703 |
Mailing Address | Practice Location Address |
---|---|
Michael Hernandez, MD 1395 Nw 167th St, Miami Gardens, FL 33169-5710 Ph: (305) 628-6117 | Michael Hernandez, MD 3059 Edgewood Ave W, Jacksonville, FL 32209-2207 Ph: (305) 628-6117 |
Dr. Jami Ann Rothe Kinnucan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Michelle Tulang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Dr. Minnsun Koh Park, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3900 University Blvd S, Jacksonville, FL 32216 Phone: 904-222-6656 | |
Sandrela Mussallam Abu Shaibeh, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846 | |
Krunal Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4800 Belfort Rd, Jacksonville, FL 32256 Phone: 904-398-7205 Fax: 904-396-4047 | |
Zaid Abdel Rahman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Sina O'sullivan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |