MEDICARE: DR. ELIAS M HERSCHMANN 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	174400000X	Specialist	ME0015129	FL

General Provider Information

NPI Number	:	1871598714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIAS M HERSCHMANN M.D.

Provider Business Mailing Address
First Line	:	4430 PINE TREE DR
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3132
Country	:	US
Telephone Number	:	305-491-2233
Fax Number	:	305-531-7784

Provider Business Practice Location Address
First Line	:	4430 PINE TREE DR
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3132
Country	:	US
Telephone Number	:	305-491-2233
Fax Number	:	305-531-7784

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	06/28/2021

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