Individual
DR. HANTZ C HERCULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D, PH.D
Contact information
Practice address
809 E JEFFERSON ST, QUINCY, FL 32351-2623
(850) 662-4070
(850) 662-4047
Mailing address
PO BOX 1618, QUINCY, FL 32353-1618
(850) 662-4070
(850) 662-4047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
63663
GA
208D00000X
General Practice Physician
16504
PR
208D00000X
General Practice Physician
Primary
ACN242
FL
Other
Enumeration date
09/30/2006
Last updated
11/06/2014
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