Most Relevant Information
Provider Data
| NPI Number: | 1003255019 |
| Provider Name: | ANTHONY JAY HERZOG MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208M00000X |
| Specialty: | Hospitalist |
| License Number: | ME130900 |
Most Important Dates
| Enumeration Date: | 06/24/2013 |
| Last Updated: | 05/09/2018 |
Provider Practice Location
1425 MALABAR RD NE
PALM BAY
FL
329072506
Practice Location Phone/Fax
| Phone: | 3214348078 |
| Fax: | 3214348075 |
Provider Mailing Location
3300 S FISKE BLVD
ROCKLEDGE
FL
329554306
Provider Mailing Phone/Fax
| Phone: | 3214348078 |
| Fax: |