Provider Demographics
NPI:1851519458
Name:HERRINGTON, SANDRA KAY (AP)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:KAY
Last Name:HERRINGTON
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1779 NE 39TH CT
Mailing Address - Street 2:APT.# 1101
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-9207
Mailing Address - Country:US
Mailing Address - Phone:954-224-3342
Mailing Address - Fax:
Practice Address - Street 1:1779 NE 39TH CT
Practice Address - Street 2:APT.# 1101
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-9207
Practice Address - Country:US
Practice Address - Phone:954-224-3342
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-22
Last Update Date:2020-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP515171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist