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Organization

JAY S. HERBST M.D., P.A.

Active
Other names
South Florida Skin Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAY STEVEN HERBST M.D. (MEDICAL DIRECTOR)
(941) 764-1055
Entity
Organization

Contact information

Practice address
2866 TAMIAMI TRL, SUITE A, PORT CHARLOTTE, FL 33952-5126
(941) 764-1055
(941) 764-7984
Mailing address
2866 TAMIAMI TRL, SUITE A, PORT CHARLOTTE, FL 33952-5126
(941) 764-1055
(941) 764-7984

Taxonomy

Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
ME 46734
FL

Other

Enumeration date
12/14/2011
Last updated
12/14/2011
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