MRS. IVELISSE HERRERA (PT) – Physical Therapist, NPI 1578675906
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MRS. IVELISSE HERRERA (PT)
4536, Northwest Wisteria Drive, Lake City, Columbia County, Florida, 32055, United States
LAKE CITY, FL 320554806
Phone: (386) 752-7542
Fax: (386) 754-6450
Type: Mailing
Lake City VA Medical Center, 619, South Marion Avenue, Lake City, Columbia County, Florida, 32025, United States
LAKE CITY, FL 320255808
Phone: (386) 755-3016
Fax: (386) 754-6450
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32055)
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