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Individual

HERMAN SCHANNNAULT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1400 SW 1ST ST, BOCA RATON, FL 33486-4470
(561) 445-9026
(561) 395-8499
Mailing address
1400 SW 1ST ST, BOCA RATON, FL 33486-4470
(561) 445-9026
(561) 395-8499

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
ARNP2632452
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP2632452
FL

Other

Enumeration date
03/10/2014
Last updated
03/17/2014
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