Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Jeanne Bouma Hernandez, MD

Individual provider Pediatrics Physician · NPI 1336487784

Lisa Jeanne Bouma Hernandez, MD is a Pediatrics Physician in Orlando, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida and New York.

Licensed in
FL, NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3464 Avalon Park East Blvd
Orlando, FL 32828-7363
Phone: (407) 635-3020
Fax: (321) 203-4607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3236 N Poinciana Blvd Ste 100, Kissimmee, FL 34746-4688 — (076) 355-9524

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME166907 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence 276845 (NY)

Record details

NPI number1336487784
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 18, 2013
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025

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