Herzog, Godofredo M
Herzog, Godofredo M is an individual health care provider with primary practice located at 5640 Marquesas Cir , Sarasota FL 34233-3331. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Herzog, Godofredo M can be contacted via phone (941) 921-5741.Contact Information
Primary practice address
5640 Marquesas Cir
Sarasota FL 34233-3331
Phone: (941) 921-5741
Fax: (941) 927-5746
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ME21751 | Florida |
Profile Details
NPI number | 1811913445 |
---|---|
LBN Legal business name | Herzog, Godofredo M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 15th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1811913445 | NPPES |
Florida | Other | 11001 | BLUE COSS BLUE SHIELD |
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