MEDICARE: HOLLY HERZ

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	363L00000X	Nurse Practitioner	APRN11032959	FL

General Provider Information

NPI Number	:	1124868260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLY HERZ

Provider Business Mailing Address
First Line	:	2255 GLADES RD STE 228W
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33431-7391
Country	:	US
Telephone Number	:	561-320-0996
Fax Number	:

Provider Business Practice Location Address
First Line	:	2919 W SWANN AVE STE 402
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4083
Country	:	US
Telephone Number	:	813-969-1681
Fax Number	:

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

Provider Enumeration Date	:	05/28/2024
Last Update Date	:	06/10/2026

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Directions to “ HOLLY HERZ ” Practice Location

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