Individual
EMMA M HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7250 RED BUG LAKE RD STE 1008, OVIEDO, FL 32765-9290
(407) 542-0911
(407) 542-0950
Mailing address
6675 WESTWOOD BLVD STE 475, ORLANDO, FL 32821-6027
(407) 845-0330
(888) 972-1752
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
18922
PR
208D00000X
General Practice Physician
ACN694
FL
208D00000X
General Practice Physician
Primary
ME151947
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015917100
—
FL
01
—
IK536Y
MEDICARE
FL
01
—
QPFN4
FLBLUE
FL
Enumeration date
05/05/2014
Last updated
05/31/2023
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