# BROCKFORD D HERRING DOPA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013146372
- **Authorized official:** MRS. GAIL S LAMB (BILLING OFFICE MANAGER)
- **Authorized official phone:** (941) 926-0969

## Contact information

- **Practice address:** 4937 CLARK RD, SARASOTA, FL 34233-3252
- **Practice address phone:** (941) 342-6505
- **Practice address fax:** (941) 342-6608
- **Mailing address:** 4937 CLARK RD, SARASOTA, FL 34233-3252
- **Mailing address phone:** (941) 342-6505
- **Mailing address fax:** (941) 342-6608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | OS10444 | FL | Yes |

## Other

- **Enumeration date:** 07/08/2009
- **Last updated:** 07/08/2009