Healthcare Provider Details

I. General information

NPI: 1477753895
Provider Name (Legal Business Name): HERNANDO HEALTHCARE ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2007
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8468 NORTHCLIFF BLVD
SPRING HILL FL
34606-1140
US

IV. Provider business mailing address

8468 NORTHCLIFF BLVD
SPRING HILL FL
34606-1140
US

V. Phone/Fax

Practice location:
  • Phone: 352-688-1757
  • Fax: 352-683-7284
Mailing address:
  • Phone: 352-688-1757
  • Fax: 352-683-7284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH5848
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS2977
License Number StateFL

VIII. Authorized Official

Name: DANIEL P MOYNIHAN
Title or Position: OWNER
Credential:
Phone: 352-556-4823