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Marie Hernandez

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

258 S Chickasaw Trl Ste 203, Orlando, FL 32825-3558

PECOS Enrollment

Based on the most recent information from CMS, provider Marie Hernandez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1396318853
Provider Type
Individual
Full Name
Hernandez, Marie
Title
Mrs.
Credential
APRN

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/22/2021
Last Updated
10/13/2023

Contact Information

Practice Location

258 S Chickasaw Trl Ste 203, Orlando, FL 32825-3558

(407) 303-6588

Unlisted Fax

Mailing Location

258 S Chickasaw Trl Ste 203, Orlando, FL 32825-3558

(407) 303-6588

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11014209 Florida
Code 363LP0200X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11014209 Florida

Marie Hernandez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Vale-Saquieres, Elena

Davis, Janina M

Okonsky, Dianne Marie

Clarke, Ryan K

Gabrielski, Angelika Augusta

Slone, Sarah

Michelle Riopedre Llc

Arroyo, Cristina

Griffith Chambers, Michelle

Wright-Cole, Jacqueline Navlett