Individual Provider
Dr. OTNIEL HERNANDEZ DNP
NPI Number1003000720
Practice Location
43 BARKLEY CIR STE 201
FORT MYERS, FL, 33907-7518
Phone
(239) 603-7303
Fax
(239) 603-7107
Mailing Address
1525 JUNIOR CT
LEHIGH ACRES, FL, 339712045
Phone
(305) 833-4707
Other Identifiers
308614300
MEDICAID
State: FL
License Information
License Number
5012043
State: NC
Important Dates
Enumeration Date
September 6, 2007
Last Updated
February 28, 2025
Certification Date
February 28, 2025