Donald Royal Herc, PT | |
3568 Clark Rd, Sarasota, FL 34231-8408 | |
(941) 924-8868 | |
Not Available |
Full Name | Donald Royal Herc |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 23 Years |
Location | 3568 Clark Rd, Sarasota, Florida |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164549051 | NPI | - | NPPES |
20123 | Other | FL | STATE OF FL PT LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 20123 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gulfcoast Physical Therapy And Performance Center Inc | 3779576806 | 4 |
Provider Name | Gulfcoast Physical Therapy And Performance Center Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1982738431 PECOS PAC ID: 3779576806 Enrollment ID: O20040405001865 |
Mailing Address | Practice Location Address |
---|---|
Donald Royal Herc, PT 3588 Shady Brook Ln, Sarasota, FL 34243-4838 Ph: (813) 417-9998 | Donald Royal Herc, PT 3568 Clark Rd, Sarasota, FL 34231-8408 Ph: (941) 924-8868 |
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