JOSEPH M HERNANDEZ MD PA NPI 1003148016

NPI Information

  • NPI: 1003148016
  • Provider Name: JOSEPH M HERNANDEZ MD PA
  • Classification: Clinic/Center - 261QP3300X
  • Specialization: Pain
  • Entity Type: Organization
  • Address: 826 SW MAIN BLVD STE 102
    LAKE CITY, FL
    ZIP 32025
  • Phone: (386) 754-0600

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NPI Details

JOSEPH M HERNANDEZ MD PA is a pain clinic center in Lake City, FL. JOSEPH M HERNANDEZ MD PA NPI is 1003148016. The provider is registered as an organization entity type.

The provider's business location address is:

826 SW MAIN BLVD STE 102
LAKE CITY, FL
ZIP 32025-742
Phone: (386) 754-0600
Fax: (386) 755-9737

The provider's authorized official is Joseph M Hernandez .
The authorized official title is Provider/owner and has the following contact phone number (386) 754-0600.

The enumeration date for this NPI number is 2/2/2010 and was last updated on 2/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP3300XClinic/CenterPainYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1277541700MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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