Hernan Diaz Bolano Md Pa

NPI 1023335767 - Family Medicine - 207Q00000X

NPI Details
NPI 1023335767
Enumeration Date 04/20/2010
Last Updated 04/20/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name HERNAN HERNAN
Position OWNER/PHYSICIAN
Phone (786) 394-3429
Fax (305) 503-8545
Practice Location
8600 SW 92ND ST
SUITE 101
MIAMI FL, 33156-7397, US
Phone (786) 394-3429
Fax (305) 503-8545
Business Location
8200 MILLER DR
MIAMI FL, 33155-5423, US
Phone (786) 394-3429
Fax (305) 503-8545
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number 44883
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According to our database, Hernan Diaz Bolano Md Pa NPI is 1023335767, taxonomy code is 207Q00000X and license number is 44883, license state is located at Florida. Hernan Diaz Bolano Md Pa physically located at 8600 Sw 92nd St, Miami FL, 33156-7397. NPI Number 1033115704 has the healthcare provider type.

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1023335767 NPI number is provided on an as is basis without warranty of any kind. 1023335767 is maintained by the National Plan & Provider Enumeration System. The contents of Hernan Diaz Bolano Md Pa are for informational purposes only.