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Organization

MARTHA G HERRERA DPM PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARTHA G HERRERA DPM (MEDICAL DIRECTOR)
(904) 802-5921
Entity
Organization

Contact information

Practice address
9765 SAN JOSE BLVD, SUITE 107, JACKSONVILLE, FL 32257
(904) 802-5921
(904) 212-2481
Mailing address
9765 SAN JOSE BLVD, SUITE 107, JACKSONVILLE, FL 32257
(904) 802-5921
(904) 212-2481

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
PO3568
FL
261QP1100X
Podiatric Clinic/Center
Primary

Other

Enumeration date
02/22/2013
Last updated
01/30/2018
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