Provider Demographics
NPI:1205604626
Name:HERRING, HANNAH (DPM)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:HERRING
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9115 W COMMERCIAL BLVD APT 107
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-4411
Mailing Address - Country:US
Mailing Address - Phone:423-306-0415
Mailing Address - Fax:
Practice Address - Street 1:3659 S MIAMI AVE STE 3008
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4225
Practice Address - Country:US
Practice Address - Phone:305-859-7777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-14
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program