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Individual

DR. HERMAN L DEANNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
7100 W 20TH AVE STE 702, HIALEAH, FL 33016-1824
(305) 825-3005
(305) 819-5887
Mailing address
7100 W 20TH AVE STE 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
01
5723570
AETNA PIN
FL
05
620097400
FL
01
810468
EYEMED PIN
FL
Enumeration date
02/14/2006
Last updated
01/21/2024
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