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Organization
HERMAN L DE ANNA OD PA
Active
Organization
HERMAN L DE ANNA OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERMAN LEONEL DE ANNA OD (PRESIDENT)
(305) 992-2290
Entity
Organization
Contact information
Practice address
7100 W 20 AVE, SUITE 702, HIALEAH, FL 33016-1824
(305) 825-3005
(305) 819-5887
Mailing address
7100 W 20 AVE, SUITE 702, HIALEAH, FL 33016-1824
(305) 825-3005
(305) 819-5887
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2749
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620097400
—
FL
01
—
P00100900
RAILROAD MEDICARE
FL
Enumeration date
05/22/2007
Last updated
01/20/2022
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