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Godofredo M Herzog, MD
General Practice Physician in Sarasota, Florida
NPI 1811913445

Godofredo M Herzog is a General Practice Physician based in Sarasota, FL. Godofredo M Herzog practices in Sarasota, FL and has the professional credentials of MD. The NPI Number for Godofredo M Herzog is 1811913445 and holds a License No. ME21751 (Florida).

The current practice location address for Godofredo M Herzog is 5640 Marquesas Cir, Sarasota, FL and can be reached out via phone at 941-921-5741 and via fax at 941-927-5746.

Location: 5640 Marquesas Cir, Sarasota, FL, 34233-3331
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Provider Profile Details
NPI Number
1811913445
Provider Name
Godofredo M Herzog
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5640 Marquesas Cir, Sarasota, FL, 34233-3331
Phone Number
941-921-5741
Fax Number
941-927-5746
Provider Enumeration Date
07/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11001 01 FL BLUE COSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
5640 Marquesas Cir
City
State
Zip
34233-3331
Phone Number
941-921-5741
Fax Number
941-927-5746
person
Provider Business Mailing Address Details
Address
5640 Marquesas Cir
City
State
Zip
34233-3331
Phone Number
941-921-5741
Fax Number
941-927-5746
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
ME21751 (Florida)
Definition
Definition to come...
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