Godofredo M Herzog, MD | |
5640 Marquesas Cir, Sarasota, FL 34233-3331 | |
(941) 921-5741 | |
(941) 927-5746 |
Full Name | Godofredo M Herzog |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 5640 Marquesas Cir, Sarasota, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811913445 | NPI | - | NPPES |
11001 | Other | FL | BLUE COSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ME21751 (Florida) | Primary |
Entity Name | Sarasota Medical Clinic Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760415574 PECOS PAC ID: 5597723593 Enrollment ID: O20041222000198 |
Mailing Address | Practice Location Address |
---|---|
Godofredo M Herzog, MD 5640 Marquesas Cir, Sarasota, FL 34233-3331 Ph: (941) 921-5741 | Godofredo M Herzog, MD 5640 Marquesas Cir, Sarasota, FL 34233-3331 Ph: (941) 921-5741 |
Pedro C Lippa, MD General Practice Medicare: Medicare Enrolled Practice Location: 1900 Brother Geenen Way, Sarasota, FL 34236 Phone: 941-566-3220 Fax: 941-955-8214 | |
Dr. Kathryn Jo Lago, D.O. General Practice Medicare: Medicare Enrolled Practice Location: 1425 S Osprey Ave, Sarasota, FL 34239 Phone: 941-366-9060 Fax: 941-953-7076 | |
Dr. Katherine Rodriguez, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 1956 Cattlemen Rd, Sarasota, FL 34232 Phone: 727-946-1568 Fax: 727-245-0224 | |
Dr. Justin Robert Harris, D.O. General Practice Medicare: Accepting Medicare Assignments Practice Location: 3900 Clark Rd, Ste H1, Sarasota, FL 34233 Phone: 941-926-1600 Fax: 941-926-1166 | |
Dr. Donald M Snyder, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: Senior Friendship Centers, Inc., 1900 Brother Geenen Way, Sarasota, FL 34236 Phone: 941-556-3215 Fax: 941-955-8214 | |
Stacey Ann South, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 3425 University Pkwy Unit 102, Sarasota, FL 34243 Phone: 941-746-7507 Fax: 941-351-2668 | |
Dr. Jeremy Evan Benjaminson, D.O. General Practice Medicare: Accepting Medicare Assignments Practice Location: 5831 Bee Ridge Rd Ste 210, Sarasota, FL 34233 Phone: 941-379-8481 Fax: 941-379-3781 |