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NPI Code Detail

MEDICARE: MRS. TERESA ANAYA HERNANDEZ MD

MEDICARE:  MRS. TERESA ANAYA HERNANDEZ  MD
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
12080P0006XDevelopmental - Behavioral Pediatrics PhysicianME75076FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518970110
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TERESA ANAYA HERNANDEZ MD
Provider Business Mailing Address
First Line : 1900 E COMMERCIAL BLVD
Second Line : SUITE 202
City : FT LAUDERDALE
State : FL
Zip : 33308-3737
Country : US
Telephone Number : 954-351-5840
Fax Number : 954-351-7725
Provider Business Practice Location Address
First Line : 1900 E COMMERCIAL BLVD
Second Line : SUITE 202
City : FT LAUDERDALE
State : FL
Zip : 33308-3737
Country : US
Telephone Number : 954-351-5840
Fax Number : 954-351-7725
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2006
Last Update Date : 06/22/2021

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Directions to “ MRS. TERESA ANAYA HERNANDEZ MD” Practice Location

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