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Individual

NICHOLAS ALEXANDER HERRERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2035 PROFESSIONAL CENTER DR, SUITE A, ORANGE PARK, FL 32073-4492
(904) 272-3200
(904) 272-3211
Mailing address
4915 EMPIRE AVE, JACKSONVILLE, FL 32207-2137
(813) 334-9687

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
TRN8831
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002584200
FL
Enumeration date
10/12/2006
Last updated
10/19/2010
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