MEDICARE: AYLEN HERNANDEZ

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
1	363LA2200X	Adult Health Nurse Practitioner	11047390	FL

General Provider Information

NPI Number	:	1821921974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AYLEN HERNANDEZ

Provider Business Mailing Address
First Line	:	240 DAVIS RD
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-1903
Country	:	US
Telephone Number	:	561-891-7847
Fax Number	:

Provider Business Practice Location Address
First Line	:	7556 LAKE WORTH RD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33467-2503
Country	:	US
Telephone Number	:	561-894-1370
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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Directions to “ AYLEN HERNANDEZ ” Practice Location

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