Dr Mitchell Schoen Herold, MD | |
1200 Gulf Breeze Pkwy Ste A, Gulf Breeze, FL 32561-4851 | |
(800) 243-7546 | |
(850) 484-8223 |
Full Name | Dr Mitchell Schoen Herold |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 1200 Gulf Breeze Pkwy Ste A, Gulf Breeze, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487113452 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | ME166028 (Florida) | Secondary |
207N00000X | Dermatology | ME166028 (Florida) | Primary |
Entity Name | Forefront Dermatology Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154815546 PECOS PAC ID: 3779471701 Enrollment ID: O20181019000122 |
Mailing Address | Practice Location Address |
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Dr Mitchell Schoen Herold, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Dr Mitchell Schoen Herold, MD 1200 Gulf Breeze Pkwy Ste A, Gulf Breeze, FL 32561-4851 Ph: (800) 243-7546 |
Kelly L Reed, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 85 Bay Bridge Dr, Gulf Breeze, FL 32561 Phone: 850-735-3376 Fax: 559-201-1269 | |
Dr. Sean Branch, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 85 Bay Bridge Dr, Gulf Breeze, FL 32561 Phone: 850-735-3376 Fax: 559-201-1269 |