| Edward L Herod, | |
|
23320 N State Road 235, Brooker, FL 32622-5266 | |
| (352) 485-2772 | |
| (352) 485-1961 |
| Full Name | Edward L Herod |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 23320 N State Road 235, Brooker, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992944599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | AH2308181 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Edward L Herod, 23320 North State Road 235, Brooker, FL 32622-5266 Ph: (352) 485-2772 | Edward L Herod, 23320 N State Road 235, Brooker, FL 32622-5266 Ph: (352) 485-2772 |
Dr. Paayal Bhakta, DMD Dentist Medicare: Medicare Enrolled Practice Location: 23320 N State Road 235, Brooker, FL 32622 Phone: 352-485-1133 Fax: 352-485-1961 | |
Dr. William M Witt, MAGD DDS Dentist Medicare: Medicare Enrolled Practice Location: 23320 N State Road 235, Brooker, FL 32622 Phone: 352-485-2772 Fax: 352-485-1961 |