| 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 |
|---|---|
| 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. 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: Medicare Enrolled 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 |
Dr. Maksim Shmargun, MD General Practice Medicare: May Accept Medicare Assignments Practice Location: 5511 Swift Rd, Sarasota, FL 34231 Phone: 941-921-7462 |
Sami F Muhtadie, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 1900 Brother Geenen Way, Sarasota, FL 34236 Phone: 941-556-3233 Fax: 941-955-8214 |
Dr. Tiffany Christian, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 3900 Clark Rd Ste B1, Sarasota, FL 34233 Phone: 941-421-0012 |