Organization
PATRICK H HERON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK HYLTON HERON M.D.,P.A.,F.A.C.O.G. (M.D., P.A.)
(305) 412-9825
Entity
Organization
Contact information
Practice address
9290 SW 72ND ST, SUITE 101, MIAMI, FL 33173-3236
(305) 412-9825
(305) 412-9925
Mailing address
9290 SW 72ND ST, SUITE 101, MIAMI, FL 33173-3236
(305) 412-9825
(305) 412-9925
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 83551
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268097100
—
FL
01
—
291235
AVMED
FL
01
—
71074
BLU CROSS BLUE SHIELD
FL
Enumeration date
02/09/2007
Last updated
02/23/2017
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