Provider Demographics
NPI:1255620563
Name:DPMHERRINPRFL LLC
Entity type:Organization
Organization Name:DPMHERRINPRFL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:713-253-6554
Mailing Address - Street 1:7241 SW 63RD AVE
Mailing Address - Street 2:SUITE 102A
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4838
Mailing Address - Country:US
Mailing Address - Phone:713-253-6554
Mailing Address - Fax:
Practice Address - Street 1:7241 SW 63RD AVE
Practice Address - Street 2:SUITE 102A
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4838
Practice Address - Country:US
Practice Address - Phone:713-253-6554
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2855213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
T13807Medicare UPIN