Individual
ENOCK HERARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2026 SW BURLINGTON ST, PORT SAINT LUCIE, FL 34984-4351
(772) 209-2368
Mailing address
2026 SW BURLINGTON ST, PORT SAINT LUCIE, FL 34984-4351
(772) 209-2368
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
W356632
FL
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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