Doctor profile · Federal record
Dr. Lisa Bouma Hernandez, MD
Pediatrics Physician · Pediatrics Physician · Orlando, FL
- NPI 1336487784
- 13 yrs on file
- Licensed in 2 states
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
3464 Avalon Park East Blvd
Orlando, FL 328287363
(407) 635-3020
fax (321) 203-4607 - Additional location
-
3236 N Poinciana Blvd Ste 100
Kissimmee, FL 347464688
(076) 355-9524
fax (407) 636-7802
Credentials & registration
- NPI registered
- January 2013 — 13 yrs on file
- Profile last updated
- September 2, 2025
- Specialty taxonomy
- 208000000X — NUCC code
- State licenses (2)
- Florida #ME166907 · New York #276845
- Medicaid
- FL #124579800
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1336487784. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$14
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 1 | $13.55 |
By nature of payment
Frequently asked questions
What is Dr. Lisa Bouma Hernandez's medical specialty?
Dr. Lisa Bouma Hernandez practices Pediatrics Physician in Orlando, FL.
Where does Dr. Lisa Bouma Hernandez practice?
Dr. Lisa Bouma Hernandez practices at 3464 Avalon Park East Blvd, Orlando, FL 328287363. Office phone: 4076353020.
What is Dr. Lisa Bouma Hernandez's NPI?
Dr. Lisa Bouma Hernandez's National Provider Identifier (NPI) is 1336487784, issued by NPPES.