Individual
ELIE JOSEPH HERCULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1240 GREENSWARD DRIVE, TALLAHASSEE, FL 32312-6773
(850) 212-8322
(850) 629-4723
Mailing address
1240 GREENSWARD DRIVE, TALLAHASSEE, FL 32312-6773
(850) 212-8322
(850) 629-4723
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
069487
GA
207Q00000X
Family Medicine Physician
4301109006
MI
207Q00000X
Family Medicine Physician
Primary
ACN369
FL
208D00000X
General Practice Physician
16311
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710088620
1710088620
PR
05
—
1710088620
—
PR
Enumeration date
09/25/2006
Last updated
01/03/2018
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