Organization
G FREDRICK HERDEL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA A SWIDERSKI (BILLING MANAGER)
(386) 423-2525
Entity
Organization
Contact information
Practice address
845 STATE ROAD 44, NEW SMYRNA BEACH, FL 32168-7271
(386) 423-2550
(386) 423-2525
Mailing address
845 STATE ROAD 44, NEW SMYRNA BEACH, FL 32168-7271
(386) 423-2550
(386) 423-2525
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 81028
FL
Other
Enumeration date
08/24/2007
Last updated
01/21/2013
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