Herson, David M

Herson, David M is an individual health care provider with primary practice located at 21756 State Road 54 Suite 102A, Lutz FL 33549-2905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Herson, David M can be contacted via phone (813) 443-5817.

Contact Information

Primary practice address
21756 State Road 54 Suite 102A Lutz FL 33549-2905
Phone: (813) 443-5817
Fax: (813) 443-5818
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X ME61297 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME61297 Florida

Profile Details

NPI number 1316942030
LBN Legal business name Herson, David M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Aug 24th, 2009 - about 17 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 1316942030 NPPES
Florida Other 2593507 CIGNA
Florida Other 4565372 CIGNA
Florida Other 720000186 CIGNA
Florida Other 58760 CIGNA
Florida MEDICAID 261340900 CIGNA
Florida Other 279800 CIGNA

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