Deanna, Herman L
Deanna, Herman L is an individual health care provider with primary practice located at 7100 W 20Th Ave Ste 702 , Hialeah FL 33016-1824. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Deanna, Herman L can be contacted via phone (305) 825-3005.Contact Information
Primary practice address
7100 W 20Th Ave Ste 702
Hialeah FL 33016-1824
Phone: (305) 825-3005
Fax: (305) 819-5887
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | OPC2749 | Florida |
Profile Details
NPI number | 1245204502 |
---|---|
LBN Legal business name | Deanna, Herman L |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 14th, 2006 |
Last updated | Jan 21st, 2024 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245204502 | NPPES |
Florida | MEDICAID | 620097400 | |
Florida | Other | 5723570 | |
Florida | Other | 810468 |
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