Organization
DAVID HERSON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M HERSON MD (OWNER)
(813) 443-5817
Entity
Organization
Contact information
Practice address
21756 STATE ROAD 54, SUITE 102A, LUTZ, FL 33549-2905
(813) 443-5817
(813) 443-5818
Mailing address
14701 CROYDON PL, TAMPA, FL 33618-2160
(813) 443-5817
(813) 443-5818
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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