TATIANA L HERNANDEZ MD PA
Ambulatory Health in New Port Richey, FL

License number
Florida ME90671
Category
Ambulatory Health
Type
Primary Care
Owner
Name: MR. JOSE DAVID HERNANDEZ
Title: OFFICE MANAGER
Phone: (727) 853-1800
Address
Address
3633 Little Rd Suite #103, New Port Richey, FL 34655
National Provider ID: 1164601191
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about TATIANA L HERNANDEZ MD PA at bizstanding.com

TATIANA L. HERNANDEZ, MD, PA

New Port Richey, FL  -  Tampa, FL

Status:
Inactive
Industry:
Health/Allied Services
Inactive reason:
REINSTATEMENT
Registration:
Feb 22, 2007
Inactive since:
May 10, 2011
Addresses:
3633 Little Rd SUITE 103, New Port Richey, FL 34655 (Physical)
7001 N Dl Mabry Hwy, Tampa, FL 33614
2160 Duck Slough Blvd, New Port Richey, FL 34655
State ID:
P07000023812
Business type:
Florida Profit Corporation
President:
Tatiana L Hernandez (President), 3633 Little Rd, New Port Richey, FL 34655 (Physical)
Agent:
Tatiana Hernandez,3633 Little Rd SUITE 103, New Port Richey, FL 34655 (Physical)
EIN:
20-8402715

Ambulatory Health licenses in Florida










Other Doctors licenses in Florida