GEORGE HERNANDEZ – NPI #1164040473
Clinic/Center

GEORGE HERNANDEZ is an AHC clinic located in SAINT PETERSBURG, FL. NPPES has assigned the NPI number 1164040473 to GEORGE HERNANDEZ on July 13, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 261QS1000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Student Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GEORGE HERNANDEZ below.

NPI Profile for
GEORGE HERNANDEZ

NPI Number
1164040473
Enumeration Date

(about 6 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GEORGE HERNANDEZ
Primary location
3251 3RD AVE N
SAINT PETERSBURG, FL 33713-8506
Phone: (727) 321-3854 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Jul 13, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS1000X
- Clinic/Center / Student Health (Primary)
FL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.