Provider Demographics
NPI:1285865816
Name:HERNANDEZ, OSCAR (AP)
Entity Type:Individual
Prefix:MR
First Name:OSCAR
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2415 7TH ST N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33704-3305
Mailing Address - Country:US
Mailing Address - Phone:727-898-5900
Mailing Address - Fax:
Practice Address - Street 1:2903 9TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33704-2032
Practice Address - Country:US
Practice Address - Phone:727-898-5900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2047171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist