Michael John Herkov in Jacksonville - Adult Development & Aging

Michael John Herkov - NPI 1346459625

Michael John Herkov is a Adult Development & Aging in Jacksonville, Florida. Michael John Herkov practices all healthcare services and medical treatments related to Adult Development & Aging. 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 Adult Development & Aging
Taxonomy 103Ta0700X
Licence No PY4681
Definition:
A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later

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FAQs about Michael John Herkov

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 Adult Development & Aging, and the corresponding taxonomy code that categorizes this area of specialization is 103Ta0700X.

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.

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