Most Relevant Information
Provider Data
| NPI Number: | 1003000720 |
| Provider Name: | OTNIEL HERNANDEZ DNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 5012043 |
Most Important Dates
| Enumeration Date: | 09/06/2007 |
| Last Updated: | 03/14/2023 |
Provider Practice Location
3677 CENTRAL AVE STE B
FORT MYERS
FL
339018226
Practice Location Phone/Fax
| Phone: | 2397901263 |
| Fax: | 2397901074 |
Provider Mailing Location
1525 JUNIOR CT
LEHIGH ACRES
FL
339712045
Provider Mailing Phone/Fax
| Phone: | 3058334707 |
| Fax: |