Individual
DR. JORDANA MANNY HERSCHTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7280 W PALMETTO PARK RD STE 210, BOCA RATON, FL 33433-3412
(561) 391-9200
(561) 338-7027
Mailing address
1475 NW 12TH AVE, 2ND FLOOR MOHS UNIT, MIAMI, FL 33136-1002
(305) 243-6704
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME111839
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2008
Last updated
10/22/2020
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