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Individual

DR. TRAVIS LLOYD HERRING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
106 W FERN DR, ORANGE CITY, FL 32763-7310
(386) 775-0525
Mailing address
106 W FERN DR, ORANGE CITY, FL 32763-7310
(386) 775-0525

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME0056568
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10437
BC/BS
FL
Enumeration date
10/03/2006
Last updated
07/08/2007
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