Individual
DR. ROBERT W. HERED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
790 CONCOURSE PKWY S, STE. 200, MAITLAND, FL 32751
(407) 767-6411
(407) 767-8160
Mailing address
1033 DR MARTIN LUTHER KING JR ST N, ST PETERSBURG, FL 33701-1547
(727) 322-7926
(727) 322-7921
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME50736
FL
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
ME50736
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000446586A
—
GA
05
—
061885300
—
FL
Enumeration date
08/10/2006
Last updated
07/12/2018
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