SHANE C HERNESMAN MD PA
Marriage and Family Therapists at Delannoy Ave, Cocoa, FL

License number
Florida ME83457
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. SHANE C HERNESMAN MD
Title: PRESIDENT
Phone: (321) 631-4940
Address
Address
505 Delannoy Ave, Cocoa, FL 32922
National Provider ID: 1164545620
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Shane C. Hernesman, M.D., PA

Merritt Island, FL  -  Cocoa, FL

Industry:
Medical Doctor's Office
Registration:
Sep 6, 2001
Addresses:
1395 N Courtenay Pkwy, Merritt Island, FL 32953
505 Delannoy Ave, Cocoa, FL 32922
State ID:
P01000087924
Business type:
Domestic for Profit Corporation
Director:
Shane C. Hernesman (Director)

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