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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164425393 | NPPES |
| Florida | MEDICAID | 120064200 | |
| Florida | Other | RV727 |
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