Provider Demographics
NPI:1740947761
Name:HERNANDEZ MORFFIZ, CARLOS J (NP)
Entity type:Individual
Prefix:
First Name:CARLOS
Middle Name:J
Last Name:HERNANDEZ MORFFIZ
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13543 SW 180TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-7109
Mailing Address - Country:US
Mailing Address - Phone:786-312-6365
Mailing Address - Fax:
Practice Address - Street 1:27455 S DIXIE HWY UNIT 1
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-8231
Practice Address - Country:US
Practice Address - Phone:305-245-3247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-24
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11014995363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily