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NPI Code Detail

MEDICARE: DR. HENRY JIM HERNANDEZ

MEDICARE:  DR. HENRY JIM  HERNANDEZ
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
1207L00000XAnesthesiology Physician29390FL

General Provider Information

NPI Number : 1194658542
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HENRY JIM HERNANDEZ
Provider Business Mailing Address
First Line : 820 BUGLE BRANCH WAY
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32259-4449
Country : US
Telephone Number : 904-716-1446
Fax Number :
Provider Business Practice Location Address
First Line : 820 BUGLE BRANCH WAY
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32259-4449
Country : US
Telephone Number : 904-716-1446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “ DR. HENRY JIM HERNANDEZ ” Practice Location

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