Organization
VICTOR L. HERRERA, D.P.M., P.A
Active
Parent organization
VICTOR L. HERRERA, D.P.M., P.A
Organization subpart
Yes
Provider details
NPI number
Legal business name
VICTOR L. HERRERA, D.P.M., P.A
Authorized official
VICTOR HERRERA (OWNER)
(305) 773-5096
Entity
Organization
Contact information
Practice address
4980 PALM AVE, HIALEAH, FL 33012-3726
(305) 512-0080
(305) 512-0082
Mailing address
4980 PALM AVE, HIALEAH, FL 33012-3726
(305) 512-0080
(305) 512-0082
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
PO3517
FL
261QM2500X
Medical Specialty Clinic/Center
Primary
PO3517
FL
261QR0200X
Radiology Clinic/Center
PO3517
FL
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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