Individual
DR. JOEL N. HERSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
935 MILITARY TRL STE 101, JUPITER, FL 33458-7009
(561) 575-4616
(561) 575-4936
Mailing address
935 MILITARY TRL STE 101, JUPITER, FL 33458-7009
(561) 575-4616
(561) 575-4936
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 1928
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65-0081302
FEDERAL TAX I.D. #
FL
Enumeration date
02/22/2007
Last updated
10/31/2013
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