Individual
DIEGO HERAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6068 S APOPKA VINELAND RD STE 10, ORLANDO, FL 32819-4449
(407) 730-7084
(407) 730-7090
Mailing address
6068 S APOPKA VINELAND RD STE 10, ORLANDO, FL 32819-4449
(407) 730-7084
(407) 730-7090
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME124496
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015065600
—
FL
Enumeration date
05/10/2013
Last updated
11/21/2018
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