Individual
DAVID MARC HEROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 VILLAGE SQUARE XING, PALM BEACH GARDENS, FL 33410-4543
(561) 693-0540
(561) 296-6174
Mailing address
2845 PGA BLVD, PALM BEACH GARDENS, FL 33410-2910
(561) 693-0540
(561) 296-6174
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME78159
FL
2085R0203X
Therapeutic Radiology Physician
ME78159
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257747000
—
FL
Enumeration date
06/28/2006
Last updated
12/14/2023
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