Herzog, Anthony Jay

Herzog, Anthony Jay is an individual health care provider with primary practice located at 1425 Malabar Rd Ne , Palm Bay FL 32907-2506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Herzog, Anthony Jay can be contacted via phone (321) 434-8078.

Contact Information

Primary practice address
1425 Malabar Rd Ne Palm Bay FL 32907-2506
Phone: (321) 434-8078
Fax: (321) 434-8075
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME130900 Florida

Profile Details

NPI number 1003255019
LBN Legal business name Herzog, Anthony Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2013
Last updated May 9th, 2018 - about 6 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 1003255019 NPPES
Florida MEDICAID 021034100
Florida Other IZ735Z

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