Organization
JANICE M HERBERT MD PA
Active
Other names
Quality Pathology Services
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE MARIE HERBERT MD (PRESIDENT)
(727) 786-0850
Entity
Organization
Contact information
Practice address
1012 NEBRASKA AVE, PALM HARBOR, FL 34683
(727) 786-0850
Mailing address
PO BOX 76074, ST PETERSBURG, FL 33734-6074
(727) 786-0850
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
800010180
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055056600
—
FL
01
—
10D0911949
CLIA
—
Enumeration date
10/17/2006
Last updated
08/06/2008
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