Organization
ACEVEDO AND HERRERA MD, INC
Active
Parent organization
ACEVEDO AND HERRERA MD, INC
Other names
ACEVEDO & HERRERA MD PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACEVEDO AND HERRERA MD, INC
Authorized official
DR. JOSE A HERRERA M.D. (SECRETARY)
(305) 649-8870
Entity
Organization
Contact information
Practice address
351 NW 42ND AVE, SUITE 101, MIAMI, FL 33126-5683
(306) 649-8870
(305) 649-3262
Mailing address
351 NW 42ND AVE, SUITE 101, MIAMI, FL 33126-5683
(306) 649-8870
(305) 649-3262
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373172300
—
FL
01
—
90508
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/08/2007
Last updated
04/25/2012
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