Organization
EDWIN HERRERA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN HERRERA MD (OWNER / PRESIDENT)
(305) 978-1486
Entity
Organization
Contact information
Practice address
431 SW 87TH CT, MIAMI, FL 33174-2433
(305) 978-1486
(786) 618-9583
Mailing address
431 S.W. 87 COURT, MIAMI, FL 33174
(305) 978-1486
(786) 618-9583
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME72391
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273299800
—
FL
Enumeration date
04/29/2013
Last updated
12/11/2013
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