Healthcare Provider Details

I. General information

NPI: 1962739599
Provider Name (Legal Business Name): APRIL M HERNANDEZ B.A. D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: APRIL M FLYNN D.C

II. Dates (important events)

Enumeration Date: 11/03/2009
Last Update Date: 04/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 N US HIGHWAY 1
JUPITER FL
33477-5135
US

IV. Provider business mailing address

201 N US HIGHWAY 1
JUPITER FL
33477-5135
US

V. Phone/Fax

Practice location:
  • Phone: 561-743-3700
  • Fax:
Mailing address:
  • Phone: 561-743-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH9796
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: