MEDICARE: DR. HERMAN ZAHAROWITZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	ME0059106	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110185134	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285736934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HERMAN ZAHAROWITZ M.D.

Provider Business Mailing Address
First Line	:	361 S JULIA CIR
Second Line	:
City	:	ST PETE BEACH
State	:	FL
Zip	:	33706-2718
Country	:	US
Telephone Number	:	727-528-8992
Fax Number	:

Provider Business Practice Location Address
First Line	:	4957 38TH AVE N STE C
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33710-2174
Country	:	US
Telephone Number	:	727-528-8992
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2006
Last Update Date	:	07/08/2007

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