Individual
GERMAN SANTIAGO HERRERA ALZATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
846 NE 54TH TERRACE, WIDLWOOD, FL 34785
(352) 689-4000
Mailing address
846 NE 54TH TERRACE, WILDWOOD, FL 34785
(352) 689-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/20/2019
Last updated
07/22/2020
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