MEDICARE: HERNANDO HEALTHCARE ASSOCIATES PA

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	207Q00000X	Family Medicine Physician	OS2977	FL
2	111N00000X	Chiropractor	CH5848	FL

General Provider Information

NPI Number	:	1477753895
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HERNANDO HEALTHCARE ASSOCIATES PA

Provider Business Mailing Address
First Line	:	8468 NORTHCLIFF BLVD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34606-1140
Country	:	US
Telephone Number	:	352-688-1757
Fax Number	:	352-683-7284

Provider Business Practice Location Address
First Line	:	8468 NORTHCLIFF BLVD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34606-1140
Country	:	US
Telephone Number	:	352-688-1757
Fax Number	:	352-683-7284

Authorized Official
Title or Position	:	OWNER
Name	:	DANIEL P MOYNIHAN
Credential	:
Telephone Number	:	352-556-4823

Provider Enumeration Date	:	07/24/2007
Last Update Date	:	04/09/2025

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