# LEWIS J HERZBRUN MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841221256
- **Authorized official:** DR. LEWIS J HERZBRUN M.D. (OWNER)
- **Authorized official phone:** (352) 357-7342

## Contact information

- **Practice address:** 30 W WILT AVE, EUSTIS, FL 32726-2949
- **Practice address phone:** (352) 357-7342
- **Practice address fax:** (352) 357-7395
- **Mailing address:** PO BOX 1507, EUSTIS, FL 32727-1507
- **Mailing address phone:** (352) 357-7342
- **Mailing address fax:** (352) 357-7395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | ME73067 | FL | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 11/05/2012
