Healthcare Provider Details

I. General information

NPI: 1659998482
Provider Name (Legal Business Name): DON HERSHELSON NOEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: DON HERSHELSON NOEL MD

II. Dates (important events)

Enumeration Date: 06/27/2020
Last Update Date: 09/10/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4330 SHERIDAN ST STE 102B
HOLLYWOOD FL
33021-1407
US

IV. Provider business mailing address

17015 MIDAS LN
LUTZ FL
33549-7600
US

V. Phone/Fax

Practice location:
  • Phone: 954-287-2010
  • Fax: 305-723-1910
Mailing address:
  • Phone: 561-373-3207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License NumberME169387
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: