Individual
HERMES B LIENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4155 SW 130TH AVE STE 113, MIAMI, FL 33175-3414
(305) 226-2535
(305) 226-2536
Mailing address
4155 SW 130TH AVE STE 113, MIAMI, FL 33175-3414
(305) 226-2535
(305) 226-2536
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME91479
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003339400
—
FL
Enumeration date
07/02/2006
Last updated
08/04/2020
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