Individual
DR. KATHY HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MMM, MPH
Contact information
Practice address
1611 NW 12TH AVE, JACKSON MEMORIAL HOSPITAL, MIAMI, FL 33136-1005
(305) 585-5544
(305) 585-6490
Mailing address
6061 COLLINS AVE APT 17D, MIAMI BEACH, FL 33140-2269
(305) 243-4664
(305) 243-9927
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
019062
LA
207RC0000X
Cardiovascular Disease Physician
Primary
ME0099727
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110155429
RAILROAD MEDICARE
LA
05
—
1936073
—
LA
01
—
AG803Z
MEDICARE
FL
Enumeration date
07/07/2006
Last updated
08/03/2011
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