Individual
CHARLES M. HERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 265-5380
Mailing address
2134 LINCOLN ST, APT 19, HOLLYWOOD, FL 33020-3991
(954) 274-5483
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
EMT 301744
FL
163W00000X
Registered Nurse
Primary
RN 9243642
FL
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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