| Doctor Name: | DR. HANTZ C HERCULE |
| NPI Number: | 1336232784 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D, PH.D |
| License Number: | 16504 |
| Business Practice Address: | 809 E Jefferson St Quincy, FL - 323512623 |
| Business Phone Number: | 8506624070 |
| Business Fax Number: | 8506624047 |
| Mailing Address: | Po Box 1618, QUINCY |
| State: | FL |
| Postal Code: | 323531618 |
| Phone Number: | 8506624070 |
| Fax Number: | 8506624047 |
| NPI Enumeration Date: | 09/30/2006 |
| NPI Last Update Date: | 11/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 16504 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |