Individual
RONI HERSKOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 POLK ST, HOLLYWOOD, FL 33020-4539
(954) 266-4015
Mailing address
2057 COOLIDGE ST, HOLLYWOOD, FL 33020-2427
(954) 266-4015
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
AL6508
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013010200
—
FL
Enumeration date
11/04/2015
Last updated
11/04/2015
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