DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA JEANNE BOUMA HERNANDEZ, MD

Active Sole Proprietor

LISA JEANNE BOUMA HERNANDEZ, MD is a Pediatrics healthcare provider located in ORLANDO, Florida. NPI 1336487784 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · ORLANDO, FL

Registration Details

NPI Number
1336487784
Provider Type
Individual
Gender
Female
NPI Issued
Jan 18, 2013 (13.526048641547 yrs)
Last Updated
Sep 2, 2025
Licenses
276845 (NY)
ME166907 (FL)
Sole Proprietor
Yes

Practice Information

Address
3464 AVALON PARK EAST BLVD
ORLANDO, FL, 328287363
Browse FL providers · Browse ZIP 32828
Phone
4076353020
Fax
3212034607
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics

Other Pediatrics Providers in ORLANDO, FL

Name Credential NPI
DR. HENRY PICKETT DUMAS MD 1184627267
SHARON DICRISTOFARO MD 1316941289
DR. JOSUE H CORTES MD 1790780104
DR. MARILIZ BORBON BUMGARNER M.D. 1558366195
DR. DONALD R SAVAGE JR. MD 1619973146
MARK J SIGMAN MD 1073510608
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.