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NPI Code Detail

MEDICARE: CHRISTINE HERNANDEZ MS-CFSLP

MEDICARE: CHRISTINE HERNANDEZ MS-CFSLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSA9747FL

General Provider Information

NPI Number : 1003094814
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE HERNANDEZ MS-CFSLP
Provider Business Mailing Address
First Line : 1705 SW 98TH AVE
Second Line :
City : MIRAMAR
State : FL
Zip : 33025-1957
Country : US
Telephone Number : 954-435-6674
Fax Number :
Provider Business Practice Location Address
First Line : 3335 N UNIVERSITY DR STE 5
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33024-2200
Country : US
Telephone Number : 954-442-9422
Fax Number : 954-442-9150
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2008
Last Update Date : 02/24/2011

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Directions to “ CHRISTINE HERNANDEZ MS-CFSLP” Practice Location

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