Provider Demographics
NPI:1861410938
Name:HERRINGTON, DANIEL S
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:S
Last Name:HERRINGTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:552 WHEATSTONE PL
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-4449
Mailing Address - Country:US
Mailing Address - Phone:407-694-1443
Mailing Address - Fax:407-295-3156
Practice Address - Street 1:1209 E 2ND ST
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-1413
Practice Address - Country:US
Practice Address - Phone:407-936-0091
Practice Address - Fax:407-936-1182
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3977000001Medicare NSC