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DR. CHRISTIAN HERNANDEZ NAZARIO M.D.

>> General Practice >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1184877235

Individual Registrant:
DR. CHRISTIAN  HERNANDEZ NAZARIO M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
255 W RIVER RD  WEWAHITCHKA, FL 32465-4533 US
Tel: 850-639-5828  Fax: 850-639-5536

Contact information for business:
HC 3 BOX 29242-12  AGUADA, PR 00602-9740 US
Tel: 787-219-2432  Fax: 787-993-1793

Registration Information:
NPI: 1184877235
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N208D00000XAllopathic & Osteopathic Physicians
General Practice
PR17375
Y208D00000XAllopathic & Osteopathic Physicians
General Practice
FLACN1156

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
103209200FL05




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