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Individual

HERNDON PRICE HARDING JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2828 CASA ALOMA WAY, SUITE 200, WINTER PARK, FL 32792-2223
(407) 671-0057
Mailing address
2828 CASA ALOMA WAY, SUITE 200, WINTER PARK, FL 32792-2223
(407) 671-0057

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME74794
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
254578100
FL
01
42609
BCBS FLORIDA
FL
01
57-1138572
CIGNA BEHAVIORAL HEALTH
FL
01
571138572
CIGNA
FL
Enumeration date
04/05/2006
Last updated
05/02/2012
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