Herbly, Hazem

Herbly, Hazem is an individual health care provider with primary practice located at 841 Prudential Dr Ste 180 , Jacksonville FL 32207-8350. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Herbly, Hazem can be contacted via phone (904) 376-3800.

Contact Information

Primary practice address
841 Prudential Dr Ste 180 Jacksonville FL 32207-8350
Phone: (904) 376-3800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME58188 Florida

Profile Details

NPI number 1346200540
LBN Legal business name Herbly, Hazem
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated May 13th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346200540 NPPES
Florida Other 260017976 RAILROAD MEDICARE
Florida MEDICAID 000463086B RAILROAD MEDICARE
Florida MEDICAID 0637530-00 RAILROAD MEDICARE

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