Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | ME11170 | FL |
NPI | 1023248275 |
---|---|
Provider Name | Dr. Thomas Stuart Herman |
First Address | Tampa, FL 33611-2829 |
Second Address | Tampa, FL 33621-1607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2009 |
Last Update Date | 22/07/2009 |