Individual
PATRICK H HERON MD PA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PA
Contact information
Practice address
9290 SW 72ND ST, SUITE 101, MIAMI, FL 33173-3236
(305) 412-9825
(305) 412-9925
Mailing address
9290 SW 72ND ST, SUITE 101, MIAMI, FL 33173-3236
(305) 412-9825
(305) 412-9925
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME83551
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268097100
—
FL
01
—
291235
AVMED
FL
01
—
71074
BLUE CROSS BLUE SHIELD
FL
01
—
9216362
CIGNA
FL
Enumeration date
02/15/2006
Last updated
02/23/2017
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