Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | ME123365 | FL |
NPI | 1033347810 |
---|---|
Provider Name | Edgar Herrera Sanchez |
First Address | Orlando, FL 32806-1015 |
Second Address | Orlando, FL 32806-1015 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2009 |
Last Update Date | 21/08/2015 |