Travis L Herring Md Pa | |
106 W Fern Dr Orange City FL 32763-7310 | |
(386) 775-0525 | |
(386) 775-0525 |
Full Name | Travis L Herring Md Pa |
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Speciality | Clinic/Center |
Location | 106 W Fern Dr, Orange City, Florida |
Authorized Official Name and Position | Travis L Herring (PRESIDENT) |
Authorized Official Contact | 3867750525 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Travis L Herring Md Pa 106 W Fern Dr Orange City FL 32763-7310 Ph: (386) 775-0525 | Travis L Herring Md Pa 106 W Fern Dr Orange City FL 32763-7310 Ph: (386) 775-0525 |
NPI Number | 1750683397 |
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Provider Enumeration Date | 12/02/2010 |
Last Update Date | 12/02/2010 |
Medicare PECOS PAC ID | 9032390232 |
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Medicare Enrollment ID | O20110222000211 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750683397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | ME 56568 (Florida) | Primary |
Provider Name | Travis L Herring |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740374834 PECOS PAC ID: 9931380144 Enrollment ID: I20110222000236 |
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