JOSEPH M HERNANDEZ MD PA (NPI# 1003148016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003148016 |
| Entity Type | Organization |
| Organization Name | JOSEPH M HERNANDEZ MD PA |
| Practice Address |
826 Sw Main Blvd Ste 102 Lake City FL 32025-5742 |
| Practice Telephone | 3867540600 |
| Practice Fax Number | 3867559737 |
| Mailing Telephone | 3867540600 |
| Mailing Fax Number | 3867559737 |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2010-02-02 |
| Authorized Official Name | DR. JOSEPH M HERNANDEZ (PROVIDER/OWNER) |
| Authorized Official Telephone | 3867540600 |
| Authorized Official Credential | M,D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 277541700 | 05 |
| Street Address |
826 SW MAIN BLVD STE 102 |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-5742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821168378 | Joseph Hernandez | Emergency Medicine | 826 Sw Main Blvd Ste 102, Lake City, FL 32025-5742 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
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| 1780218180 | Alicia's LLC | Clinic/Center | 6798 Crosswinds Dr N Ste C102, St Petersburg, FL 33710-5477 | 2020-02-25 |
| 1457815474 | Kadia Medical, LLC | Clinic/Center | 813 Deltona Blvd Ste A, Deltona, FL 32725-7154 | 2019-01-23 |
| 1891262358 | First Coast Pain Consultants Pllc | Clinic/Center | 105 Whitehall Dr Ste 115, St Augustine, FL 32086-5269 | 2018-11-01 |
| 1346738796 | Advanced Pain Management and Anesthesiology | Clinic/Center | 4209 E. Busch Blvd, Tampa, FL 33617 | 2018-05-01 |
| 1710482948 | Aktive Motion Physical Therapy Inc | Clinic/Center | 1250 9th St N Ste 204, Naples, FL 34102 | 2018-03-28 |
| 1356843106 | Physicial Medicine & Rehab Consultants | Clinic/Center | 18865 State Road 54 Ste 301, Lutz, FL 33558 | 2018-03-07 |
| 1962917153 | Rejuveunique, Inc | Clinic/Center | 4259 10th Ave N Ste B, Palm Springs, FL 33461-2323 | 2017-12-10 |
| 1457866782 | Freedom Pain Management, Lcc | Clinic/Center | 8198 S Jog Rd Ste 100, Boynton Beach, FL 33472-2998 | 2017-12-08 |
| 1134632474 | North Florida Sports and Spine Center Inc. | Clinic/Center | 1540 Business Center Dr Ste C, Fleming Island, FL 32003-4419 | 2017-11-08 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.