Jeffrey Alan Hertz
Vascular Surgeon
1150 N 35th Ave Ste 460
Hollywood
, Florida 33021
Jeffrey Alan Hertz
Vascular Surgeon
1150 N 35th Ave Ste 460
Hollywood
, Florida 33021
(954) 985-7074
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Jeffrey Alan Hertz
- 2900 Corporate Way Door D
- Miramar, FL
- Zip : 33025-3925
- Fax : (954) 985-7074
- Phone : (954) 276-5685
Second Address
- Jeffrey Alan Hertz
- 1150 N 35th Ave Ste 460
- Hollywood, FL
- Zip : 33021
- Fax : (954) 265-8373
- Phone : (954) 265-4664
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | ME71836 | FL |
National Provider Identifier
| NPI | 1033194535 |
|---|---|
| Provider Name | Jeffrey Alan Hertz |
| First Address | Miramar, FL 33025-3925 |
| Second Address | Hollywood, FL 33021 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/12/2005 |
| Last Update Date | 17/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 267827600 | (05) | FL |
| H62504 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.