Individual
MARLA HERSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-7514
Mailing address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-7514
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME73167
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252948300
—
FL
01
—
41387
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/30/2006
Last updated
05/03/2011
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