Individual
ERIC W HIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
950 N AVALON WAY, LECANTO, FL 34461-6004
(352) 746-2663
(352) 746-6907
Mailing address
PO BOX 1990, CRYSTAL RIVER, FL 34423-1990
(352) 746-2663
(352) 746-6907
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101057649
VA
207X00000X
Orthopaedic Surgery Physician
Primary
ME95650
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000710700
—
FL
05
—
006406505
—
VA
01
—
56624
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/19/2005
Last updated
10/15/2010
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