Healthcare Provider Details

I. General information

NPI: 1740570217
Provider Name (Legal Business Name): HERMAN, VURRO & ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2011
Last Update Date: 04/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 E COLONIAL DR SUITE 107
ORLANDO FL
32803-5200
US

IV. Provider business mailing address

4401 E COLONIAL DR SUITE 107
ORLANDO FL
32803-5200
US

V. Phone/Fax

Practice location:
  • Phone: 407-898-5060
  • Fax: 407-898-5185
Mailing address:
  • Phone: 407-898-5060
  • Fax: 407-898-5185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License NumberSA1530
License Number StateFL

VIII. Authorized Official

Name: DR. JEFFREY HERMAN
Title or Position: PRESIDENT
Credential: ED.D CCC-SLP
Phone: 407-898-5060