MEDICARE: DR. OTNIEL HERNANDEZ DNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	5012043	NC
2	363LF0000X	Family Nurse Practitioner	ARNP3081082	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003000720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OTNIEL HERNANDEZ DNP

Provider Business Mailing Address
First Line	:	1525 JUNIOR CT
Second Line	:
City	:	LEHIGH ACRES
State	:	FL
Zip	:	33971-2045
Country	:	US
Telephone Number	:	305-833-4707
Fax Number	:

Provider Business Practice Location Address
First Line	:	43 BARKLEY CIR STE 201
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-7518
Country	:	US
Telephone Number	:	239-603-7303
Fax Number	:	239-603-7107

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2007
Last Update Date	:	02/28/2025

Similar Medicare Providers

1306962956 — NWE OO M.D.
Practice Location Address:

43 BARKLEY CIR STE 201
FORT MYERS, FL
33907-7518

Practice Phone: 407-620-8775
Practice Fax:

1801604202 — YAMILIS RODRIGUEZ
Practice Location Address:

713 ZENDOR AVE FL 33913
FORT MYERS, FL
33913-7518

Practice Phone: 786-718-3508
Practice Fax:

1821146507 — YVONNE MARIE RODRIGUEZ L.C.S.W.
Practice Location Address:

1729 W LAS OLAS BLVD
FORT LAUDERDALE, FL
33312-7518

Practice Phone: 813-404-7405
Practice Fax: --

1184145856 — COMMUNITY FAMILY LIFE SERVICES INC
Practice Location Address:

4860 FORT TOTTEN DR NE
WASHINGTON, DC
20011-7518

Practice Phone: 202-635-1745
Practice Fax: 202-635-1626

1760154454 — R.C.F HOME HEALTH CARE AGENCY, LLC
Practice Location Address:

12995 S CLEVELAND AVE
FORT MYERS, FL
33907-3890

Practice Phone: 239-244-7518
Practice Fax:

1427996438 — PASSPORT HEALTH HOLDINGS, LLC
Practice Location Address:

4531 DELEON STREET , SUITE 206
FORT MYERS, FL
33907

Practice Phone: 877-358-8648
Practice Fax: 877-877-6875

Directions to “ DR. OTNIEL HERNANDEZ DNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.