Individual
BENJAMIN ROBERT HERGET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
Mailing address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 25503
FL
Other
Enumeration date
07/29/2009
Last updated
07/26/2010
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