# DR. JOHN DAVID HERMANSDORFER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1164425393
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME43087 | FL | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | ME43087 | FL | — |

## Other

- **Enumeration date:** 05/23/2005
- **Last updated:** 11/21/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 120064200 | — | FL |
| 01 | — | RV727 | MEDICARE HF | FL |