Healthcare Provider Details

I. General information

NPI: 1639084890
Provider Name (Legal Business Name): BRITTNEY ANN HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3280 W AUDUBON PARK PATH
LECANTO FL
34461-8450
US

IV. Provider business mailing address

8009 N DYKE WAY
CITRUS SPRINGS FL
34434-6666
US

V. Phone/Fax

Practice location:
  • Phone: 352-527-2020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11049666
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: