Individual
DR. JANICE M HERBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1012 NEBRASKA AVE, PALM HARBOR, FL 34683-4006
(727) 786-0850
Mailing address
PO BOX 76074, ST PETERSBURG, FL 33734-6074
(727) 786-0850
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
ME0042935
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME0042935
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055056600
—
FL
01
—
10D0911949
CLIA
—
Enumeration date
08/06/2008
Last updated
03/01/2009
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