Individual
MR. BRENDAN JACOB HERRBOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
3250 ZEMKE AVE, TAMPA, FL 33621-5023
(813) 827-9715
(813) 827-1512
Mailing address
3250 ZEMKE AVE, TAMPA, FL 33621-5023
(813) 827-9715
(813) 827-1512
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9271184
FL
Other
Enumeration date
12/14/2007
Last updated
04/11/2018
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