Provider Demographics
NPI:1407977978
Name:HERNANDEZ, CINDY (DO)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:MARIA
Other - Last Name:ROBLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 9834
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33075-9834
Mailing Address - Country:US
Mailing Address - Phone:708-822-1987
Mailing Address - Fax:954-753-8309
Practice Address - Street 1:8130 ROYAL PALM BLVD
Practice Address - Street 2:STE 101
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-5703
Practice Address - Country:US
Practice Address - Phone:954-340-1500
Practice Address - Fax:954-753-8309
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ005102207W00000X
FLOS 10559207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCL659AMedicare PIN