Provider Demographics
NPI:1205860962
Name:FINOL-HERNANDEZ, ADRIAN J (MD)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:J
Last Name:FINOL-HERNANDEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 ROLLING ACRES RD UNIT 201
Mailing Address - Street 2:
Mailing Address - City:LADY LAKE
Mailing Address - State:FL
Mailing Address - Zip Code:32159-5029
Mailing Address - Country:US
Mailing Address - Phone:352-775-4833
Mailing Address - Fax:352-775-4839
Practice Address - Street 1:920 ROLLING ACRES RD UNIT 201
Practice Address - Street 2:
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-5029
Practice Address - Country:US
Practice Address - Phone:352-775-4833
Practice Address - Fax:352-775-4839
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2017-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA227576208G00000X
FLME101860208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001838600Medicaid
FL93625OtherBLUE CROSS BLUE SHIELD
FLBK741YMedicare PIN