Individual
DOLFI HERSCOVICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7544 JACQUE RD, HUDSON, FL 34667
(727) 697-2200
(727) 863-8774
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 972-5055
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS6189
FL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
OS6189
FL
207XX0801X
Orthopaedic Trauma Physician
OS6189
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057424400
—
FL
01
—
1660813
CIGNA
FL
01
—
200016605
MEDICARE RAILROAD
FL
01
—
208505
AVMED
FL
01
—
4224344
AETNA
FL
01
—
80568
BC/BS
FL
Enumeration date
06/17/2005
Last updated
12/11/2019
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