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NPI Code Detail

MEDICARE: ALLAN TILDEN HERMAN MD

MEDICARE: ALLAN TILDEN HERMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD2022-0905NM
2207P00000XEmergency Medicine PhysicianMD2022-0905NM

General Provider Information

NPI Number : 1326604851
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLAN TILDEN HERMAN MD
Provider Business Mailing Address
First Line : 133 BENMORE DR STE 200
Second Line :
City : WINTER PARK
State : FL
Zip : 32792-4111
Country : US
Telephone Number : 407-646-7070
Fax Number :
Provider Business Practice Location Address
First Line : 104 LEGION DR
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-4804
Country : US
Telephone Number : 505-426-3504
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2019
Last Update Date : 05/13/2026

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Directions to “ ALLAN TILDEN HERMAN MD” Practice Location

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