Herman M. Duperault, Jr., O.d., P.a.
NPI #1710900824 in Atlantic Beach, Florida
Provider Information
- NPI Number
- 1710900824
- Entity Type
- Organization
- Organization Name
- Herman M. Duperault, Jr., O.d., P.a.
- Primary Specialty
- Point of Service
- Enumeration Date
- Jul 26, 2006
- Last Updated
- Jun 20, 2008
Practice Location
- Address
- 447 ATLANTIC BLVD
- Address 2
- SUITE 1
- City
- Atlantic Beach
- State
- Florida
- ZIP Code
- 32233-4004
- Phone
- (904) 246-4372
Authorized Official
- Name
- DR. HERMAN M DUPERAULT JR., O.D.
- Title
- PRESIDENT
- Phone
- (904) 246-0404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Point of Service |
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