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Herman M. Duperault, Jr., O.d., P.a.
Point of Service in Atlantic Beach, Florida
NPI 1710900824

Herman M. Duperault, Jr., O.d., P.a. is a Point of Service based in Jacksonville Beach, FL. Herman M. Duperault, Jr., O.d., P.a. practices in Atlantic Beach, FL. The NPI Number for Herman M. Duperault, Jr., O.d., P.a. is 1710900824 and holds a License No. OPC 672 (Florida).

The current practice location address for Herman M. Duperault, Jr., O.d., P.a. is 447 Atlantic Blvd, Atlantic Beach, FL and can be reached out via phone at 904-246-4372 and via fax at 904-246-6115.

Location: 447 Atlantic Blvd, Atlantic Beach, FL, 32250-8163
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710900824
Provider Name
Herman M. Duperault, Jr., O.d., P.a.
Credential
Provider Entity Type
Organization
Address
447 Atlantic Blvd, Atlantic Beach, FL, 32250-8163
Phone Number
904-246-4372
Fax Number
904-246-6115
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
084332600 05 FL
institution
Provider Business Practice Location Address Details
Address
447 Atlantic Blvd
City
Atlantic Beach
State
Florida
Zip
32233-4004
Phone Number
904-246-4372
Fax Number
904-246-6115
person
Provider Business Mailing Address Details
Address
447 Atlantic Blvd
City
Atlantic Beach
State
Florida
Zip
32233-4004
Phone Number
904-246-4372
Fax Number
904-246-6115
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
OPC 672 (Florida)
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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