Herman M. Duperault, Jr., O.D., P.A. in Atlantic Beach - Point Of Service
Herman M. Duperault, Jr., O.D., P.A. - NPI 1710900824
Herman M. Duperault, Jr., O.D., P.A. is a Point Of Service in Atlantic Beach, Florida. Herman M. Duperault, Jr., O.D., P.A. practices all healthcare services and medical treatments related to Point Of Service. The NPI Number for Herman M. Duperault, Jr., O.D., P.A. is 1710900824. The last update date is 2008-06-20.
Herman M. Duperault, Jr., O.D., P.A.'s current location address is 447 Atlantic Blvd, Atlantic Beach, Florida. You can contact this provider via phone number 9042464372 and fax number 9042466115. The mailing address for Herman M. Duperault, Jr., O.D., P.A. is 447 Atlantic Blvd, Atlantic Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Herman M. Duperault, Jr., O.D., P.A. |
|---|---|
| Address | 447 Atlantic Blvd, Atlantic Beach, Florida |
| Phone Number | 9042464372 |
| Fax Number | 9042466115 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Duperault M Herman |
| Credentials | O.D. |
| Telephone Number | 9042460404 |
NPI Number Detail
| NPI Number | 1710900824 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2008-06-20 |
Provider Mailing Address Detail
| Address | 447 Atlantic Blvd |
|---|---|
| City | Atlantic Beach |
| State | Florida (FL) |
| Post Code | 322334004 |
| Phone Number | 9042464372 |
| Fax Number | 9042466115 |
Provider's Primary Taxonomy Detail
| Speciality | Point Of Service |
|---|---|
| Taxonomy | 305S00000X |
| Licence No | OPC 672 |
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Definition: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 84332600 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Herman M. Duperault, Jr., O.D., P.A. by the Centers for Medicare & Medicaid Services?
The Herman M. Duperault, Jr., O.D., P.A. has been issued the NPI (National Provider Identifier) 1710900824, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Herman M. Duperault, Jr., O.D., P.A. is physically located?
The Herman M. Duperault, Jr., O.D., P.A. is physically situated at the following address: 447 Atlantic Blvd, Atlantic Beach, FL, 322334004.
What is Herman M. Duperault, Jr., O.D., P.A.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Herman M. Duperault, Jr., O.D., P.A. is Point Of Service, and the taxonomy classification code that categorizes this area of expertise is 305S00000X.
When was the Herman M. Duperault, Jr., O.D., P.A.'s 1710900824 issued?
The Herman M. Duperault, Jr., O.D., P.A.'s 1710900824 was issued on 2006-07-26.
When was the information regarding Herman M. Duperault, Jr., O.D., P.A. most recently updated?
The details pertaining to the Herman M. Duperault, Jr., O.D., P.A., including its address, specialty, and other relevant information, were last refreshed on 2008-06-20.