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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003255019 | NPPES |
| Florida | MEDICAID | 021034100 | |
| Florida | Other | IZ735Z |
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