Hered, Robert W.

Hered, Robert W. is an individual health care provider with primary practice located at 790 Concourse Pkwy S Ste. 200, Maitland FL 32751. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Hered, Robert W. can be contacted via phone (407) 767-6411.

Contact Information

Primary practice address
790 Concourse Pkwy S Ste. 200 Maitland FL 32751
Phone: (407) 767-6411
Fax: (407) 767-8160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME50736 Florida

Profile Details

NPI number 1417968942
LBN Legal business name Hered, Robert W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jul 12th, 2018 - about 6 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417968942 NPPES
Georgia MEDICAID 000446586A
Georgia MEDICAID 061885300

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