Provider Demographics
NPI:1558015917
Name:HER, MEE
Entity Type:Individual
Prefix:
First Name:MEE
Middle Name:
Last Name:HER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14615 N 17TH ST
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33549-6551
Mailing Address - Country:US
Mailing Address - Phone:813-602-6400
Mailing Address - Fax:813-574-7001
Practice Address - Street 1:14615 N 17TH ST
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33549-6551
Practice Address - Country:US
Practice Address - Phone:407-414-7967
Practice Address - Fax:813-574-7001
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other