Search › Florida › 363AM0700X
Kristine Hertzog, PA
NPI 1750546040 · on the registry since 2008
Practice
- Address
- 805 Century Medical Dr Ste A
Titusville, FL 32796 - Phone
- (321) 567-7530
- Fax
- (321) 225-8723
- Organisation at this address
- David N Greenblum, Md, Pa
North Brevard Medical Support, Inc
North Brevard County Hospital DistrictInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363A00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-02-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida