Individual
DR. NANCY E HERLEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4650 NW 39TH PLACE, SUITE D, GAINESVILLE, FL 32606
(352) 373-0000
(352) 373-0595
Mailing address
4650 NW 39TH PLACE, SUITE D, GAINESVILLE, FL 32606-8157
(352) 373-0000
(352) 376-8908
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3009
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068805
VISTA
—
01
—
259466
AVMED
—
Enumeration date
03/20/2006
Last updated
09/04/2009
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