Provider Demographics
NPI:1659301034
Name:HERNANDEZ, WRIGHT F (MD)
Entity type:Individual
Prefix:DR
First Name:WRIGHT
Middle Name:F
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10 ZINNIAS CT
Mailing Address - Street 2:
Mailing Address - City:HOMOSASSA
Mailing Address - State:FL
Mailing Address - Zip Code:34446-5628
Mailing Address - Country:US
Mailing Address - Phone:352-503-7468
Mailing Address - Fax:352-503-7468
Practice Address - Street 1:7945 S SUNCOAST BLVD STE B
Practice Address - Street 2:
Practice Address - City:HOMOSASSA
Practice Address - State:FL
Practice Address - Zip Code:34446-5005
Practice Address - Country:US
Practice Address - Phone:352-382-6111
Practice Address - Fax:352-382-6112
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLACN367207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIE31205Medicare UPIN