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Individual

DR. HAZEM HERBLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1325 SAN MARCO BLVD STE 300, JACKSONVILLE, FL 32207-8567
(904) 376-3800
(904) 390-7392
Mailing address
PO BOX 748519, ATLANTA, GA 30374-8519
(904) 376-3800
(904) 376-3998

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME58188
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000463086B
GA
05
0637530-00
FL
01
260017976
RAILROAD MEDICARE
FL
Enumeration date
03/23/2006
Last updated
09/11/2025
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