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:
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Health care specialties

SpecialtyCodeLicense #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 19 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 1811913445 NPPES
Florida Other 11001 BLUE COSS BLUE SHIELD

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