Healthcare Provider Details

I. General information

NPI: 1366728792
Provider Name (Legal Business Name): FRANCISCO J HERNANDEZ MENDEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2011
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13933 17TH ST STE 101
DADE CITY FL
33525-4604
US

IV. Provider business mailing address

5350 SPRING HILL DR
SPRING HILL FL
34606-4562
US

V. Phone/Fax

Practice location:
  • Phone: 352-567-6763
  • Fax: 352-567-2146
Mailing address:
  • Phone: 352-277-5348
  • Fax: 352-606-2857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME122924
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: