Healthcare Provider Details

I. General information

NPI: 1205604626
Provider Name (Legal Business Name): HANNAH HERRING DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2023
Last Update Date: 12/14/2023
Certification Date: 12/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3659 S MIAMI AVE STE 3008
MIAMI FL
33133-4225
US

IV. Provider business mailing address

9115 W COMMERCIAL BLVD APT 107
SUNRISE FL
33351-4411
US

V. Phone/Fax

Practice location:
  • Phone: 305-859-7777
  • Fax:
Mailing address:
  • Phone: 423-306-0415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: