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Anthony Herzog MD NPI 1003255019

Classification
Hospitalist
Type
License No.
ME130900
License State
FL
Certified
Location

Additional Identifiers

Medical School
OTHER
Graduation Year
2014
Identifier
Type
State
Identifier: IZ735Z
Type: OTHER (01)
State: FL
Identifier: 021034100
Type: MEDICAID (05)
State: FL

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
1425 MALABAR RD NE, PALM BAY, FL, 329072506
Business Phone
321-434-8078
Mailing Address
3300 S FISKE BLVD, ROCKLEDGE, FL, 329554306
Mailing Phone
321-434-8078
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