Kristine C Hertzog in Tampa - Physician Assistant
Kristine C Hertzog - NPI 1750546040
Kristine C Hertzog is a Physician Assistant in Tampa, Florida. Kristine C Hertzog practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kristine C Hertzog is 1750546040. The last update date is 2015-02-25.
Kristine C Hertzog's current location address is 10866 Sheldon Rd, Tampa, Florida. You can contact this provider via phone number 4077188205. The mailing address for Kristine C Hertzog is 10866 Sheldon Rd, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristine C Hertzog |
|---|---|
| Address | 10866 Sheldon Rd, Tampa, Florida |
| Phone Number | 4077188205 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1750546040 |
|---|---|
| Provider Enumeration Date | 2008-07-25 |
| Last Updated Date | 2015-02-25 |
Provider Mailing Address Detail
| Address | 10866 Sheldon Rd |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336265117 |
| Phone Number | 4077188205 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9104652 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Kristine C Hertzog by the Centers for Medicare & Medicaid Services?
The Kristine C Hertzog has been issued the NPI (National Provider Identifier) 1750546040 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kristine C Hertzog's facilities are situated?
The facilities of Kristine C Hertzog are physically located at the following address: 10866 Sheldon Rd, Tampa, FL, 336265117.
What is Kristine C Hertzog's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kristine C Hertzog is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Kristine C Hertzog receive the assignment of its 1750546040 from the Centers for Medicare & Medicaid Services?
The Kristine C Hertzog was issued its 1750546040 by the Centers for Medicare & Medicaid Services on 2008-07-25.
When was the information related to Kristine C Hertzog most recently updated or refreshed?
The details pertaining to the Kristine C Hertzog, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-02-25.
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