Individual
MRS. ANNA ELIZABETH HERKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC/SLP
Contact information
Practice address
1313 SW 104TH ST, GAINESVILLE, FL 32607-6352
(352) 327-1214
Mailing address
1313 SW 104TH ST, GAINESVILLE, FL 32607-6352
(352) 327-1214
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA630
FL
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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