Individual
MICHELLE DENISSE HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
10105 CLEAR VISTA ST STE B, ORLANDO, FL 32832-6376
(407) 249-1234
(407) 249-1755
Mailing address
11513 LAKE UNDERHILL RD, ORLANDO, FL 32825-5001
(407) 249-1234
(407) 249-1755
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
304062
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/20/2016
Last updated
02/07/2022
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