Individual
ADRIAN L. HERREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Mailing address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME83305
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009909845
—
AL
01
—
050091146
RAILROAD MEDICARE
FL
05
—
131511
—
AL
05
—
266122500
—
FL
01
—
59167824
BLUECROSS & BLUESHIELD
AL
01
—
592-15544
BLUE CROSS BLUE SHIELD
AL
01
—
62998
BLUECROSS & BLUESHIELD
FL
01
—
C164
HEALTH FIRST NETWORK
FL
Enumeration date
08/11/2005
Last updated
11/17/2011
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