Provider Demographics
NPI:1134317407
Name:HERRIN, ASHLEY A (AP DOM)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:A
Last Name:HERRIN
Suffix:
Gender:F
Credentials:AP DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3020 N FEDERAL HWY
Mailing Address - Street 2:SUITE 3
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33306-1488
Mailing Address - Country:US
Mailing Address - Phone:954-530-0125
Mailing Address - Fax:954-530-0125
Practice Address - Street 1:3020 N FEDERAL HWY
Practice Address - Street 2:SUITE 3
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33306-1488
Practice Address - Country:US
Practice Address - Phone:954-530-0125
Practice Address - Fax:954-530-0125
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-11
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2452171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist