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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1245204502 NPPES
Florida MEDICAID 620097400
Florida Other 5723570
Florida Other 810468

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