Provider Demographics
NPI:1124717418
Name:HERNANDEZ FERRAS, DAMARY (APRN)
Entity type:Individual
Prefix:
First Name:DAMARY
Middle Name:
Last Name:HERNANDEZ FERRAS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 S SEMORAN BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32807-1459
Mailing Address - Country:US
Mailing Address - Phone:407-384-9165
Mailing Address - Fax:407-384-9174
Practice Address - Street 1:1140 S SEMORAN BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-1459
Practice Address - Country:US
Practice Address - Phone:407-384-9165
Practice Address - Fax:407-384-9174
Is Sole Proprietor?:No
Enumeration Date:2023-05-03
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11026099363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily