Michael John Herkov in Jacksonville - Addiction (substance Use Disorder)
Michael John Herkov - NPI 1346459625
Michael John Herkov is a Addiction (substance Use Disorder) in Jacksonville, Florida. Michael John Herkov practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Michael John Herkov is 1346459625. The last update date is 2007-07-08.
Michael John Herkov's current location address is 11512 Lake Mead Ave, Jacksonville, Florida. You can contact this provider via phone number 9046450114 and fax number 9046450115. The mailing address for Michael John Herkov is 11512 Lake Mead Ave, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael John Herkov |
|---|---|
| Address | 11512 Lake Mead Ave, Jacksonville, Florida |
| Phone Number | 9046450114 |
| Fax Number | 9046450115 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1346459625 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11512 Lake Mead Ave |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 32256 |
| Phone Number | 9046450114 |
| Fax Number | 9046450115 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 103Ta0400X |
| Licence No | PY4681 |
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Definition: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., ga |
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What is the unique 10-digit identifier code assigned to Michael John Herkov by the Centers for Medicare & Medicaid Services?
The Michael John Herkov has been issued the NPI (National Provider Identifier) 1346459625 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Michael John Herkov is physically located?
The Michael John Herkov is physically situated at the following address: 11512 Lake Mead Ave, Jacksonville, FL, 32256.
What is Michael John Herkov's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael John Herkov's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 103Ta0400X.
On what date did Michael John Herkov receive its 1346459625 assignment from the Centers for Medicare & Medicaid Services?
The Michael John Herkov was assigned its 1346459625 on 2007-05-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Michael John Herkov, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Michael John Herkov, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY