Individual
MR. BARRY HERSCOVITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
4416 SENTRY PALM LOOP, ZEPHYRHILLS, FL 33542-5625
(352) 999-2515
Mailing address
4416 SENTRY PALM LOOP, ZEPHYRHILLS, FL 33542-5625
(352) 999-2515
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO5836
FL
Other
Enumeration date
10/21/2008
Last updated
10/28/2008
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