Healthcare Provider Details

I. General information

NPI: 1649476391
Provider Name (Legal Business Name): MILDRED Z. HERNANDEZ PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2685 HORSESHOE DR S #101
NAPLES FL
34104-6113
US

IV. Provider business mailing address

3475 LAUREL GREENS LN S #203
NAPLES FL
34119-8083
US

V. Phone/Fax

Practice location:
  • Phone: 239-659-9188
  • Fax: 239-659-0526
Mailing address:
  • Phone: 312-933-2333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number13294
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: