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Organization
SPACE COAST MEDICINE
Active
Organization
SPACE COAST MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY HERZOG (MD)
(850) 544-0142
Entity
Organization
Contact information
Practice address
310 AVENUE A, MELBOURNE BEACH, FL 32951-2201
(850) 544-0142
Mailing address
PO BOX 510195, MELBOURNE BEACH, FL 32951-0195
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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