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Organization
LEWIS J HERZBRUN MD PA
Active
Organization
LEWIS J HERZBRUN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEWIS J HERZBRUN M.D. (OWNER)
(352) 357-7342
Entity
Organization
Contact information
Practice address
30 W WILT AVE, EUSTIS, FL 32726-2949
(352) 357-7342
(352) 357-7395
Mailing address
PO BOX 1507, EUSTIS, FL 32727-1507
(352) 357-7342
(352) 357-7395
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME73067
FL
Other
Enumeration date
07/05/2006
Last updated
11/05/2012
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