Hermansdorfer, John David

Hermansdorfer, John David is an individual health care provider with primary practice located at 2222 S. Harbor City Blvd Suite 420, Melbourne FL 32901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Hermansdorfer, John David can be contacted via phone (321) 768-9914.

Contact Information

Primary practice address
2222 S. Harbor City Blvd Suite 420 Melbourne FL 32901
Phone: (321) 768-9914
Fax: (321) 953-1893
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X ME43087 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME43087 Florida

Profile Details

NPI number 1164425393
LBN Legal business name Hermansdorfer, John David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Nov 21st, 2023 - about last year

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 1164425393 NPPES
Florida MEDICAID 120064200
Florida Other RV727

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