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NPI Code Detail

MEDICARE: HERMAN L DE ANNA OD PA

MEDICARE: HERMAN L DE ANNA OD PA
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
1152W00000XOptometristOPC2749FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00100900OTHERFLRAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1396954533
Entity Type Code : Organization
Provider Name (Legal Business Name) : HERMAN L DE ANNA OD PA
Provider Business Mailing Address
First Line : 7100 W 20 AVE
Second Line : SUITE 702
City : HIALEAH
State : FL
Zip : 33016-1824
Country : US
Telephone Number : 305-825-3005
Fax Number : 305-819-5887
Provider Business Practice Location Address
First Line : 7100 W 20 AVE
Second Line : SUITE 702
City : HIALEAH
State : FL
Zip : 33016-1824
Country : US
Telephone Number : 305-825-3005
Fax Number : 305-819-5887
Authorized Official
Title or Position : PRESIDENT
Name : HERMAN LEONEL DE ANNA
Credential : OD
Telephone Number : 305-992-2290
Provider Enumeration Date : 05/22/2007
Last Update Date : 01/20/2022

Similar Medicare Providers

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1750601266 — MR. GIANCARLO PEREZ M.D.
Practice Location Address:
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1174827117 — JOSE MARTINEZ-ALBA JR MD PA
Practice Location Address:
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1093008849 — DR. SHARON RAMOS M.D.
Practice Location Address:
7100 W 20TH AVE STE 608
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33016-1824
Practice Phone: 305-557-4016
Practice Fax: 305-828-0670

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