Individual
MICHAEL BLUE HERRIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3324 W UNIVERSITY AVE STE A, GAINESVILLE, FL 32607-2540
(352) 240-0801
Mailing address
5607 JOHNS RD, TAMPA, FL 33634-4499
(813) 885-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1613-646T
LA
152W00000X
Optometrist
Primary
OPC5041
FL
Other
Enumeration date
07/25/2011
Last updated
10/22/2019
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