Herrero, Nicholas Alexander

Herrero, Nicholas Alexander is an individual health care provider with primary practice located at 2035 Professional Center Dr Suite A, Orange Park FL 32073-4492. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Herrero, Nicholas Alexander can be contacted via phone (904) 272-3200.

Contact Information

Primary practice address
2035 Professional Center Dr Suite A Orange Park FL 32073-4492
Fax: (904) 272-3211
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X TRN8831 Florida

Profile Details

NPI number 1396834701
LBN Legal business name Herrero, Nicholas Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Oct 19th, 2010 - about 14 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 1396834701 NPPES
Florida MEDICAID 002584200

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