Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | ME88277 | FL |
NPI | 1083696611 |
---|---|
Provider Name | Richard T Herrick |
First Address | Pinellas Park, FL 33781-3534 |
Second Address | Pinellas Park, FL 33781-3534 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2005 |
Last Update Date | 20/11/2015 |