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NPI Code Detail

MEDICARE: DR. RODNEY J HERMAN M.D.

MEDICARE: DR. RODNEY J HERMAN M.D.
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
1208D00000XGeneral Practice PhysicianME0039319FL
2207R00000XInternal Medicine Physician39313FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457359929
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RODNEY J HERMAN M.D.
Provider Business Mailing Address
First Line : 3345 BURNS RD 302
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-4321
Country : US
Telephone Number : 561-622-7661
Fax Number : 561-622-4651
Provider Business Practice Location Address
First Line : 3345 BURNS RD 302
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-4321
Country : US
Telephone Number : 561-622-7661
Fax Number : 561-622-4651
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 08/17/2015

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