Herbst, Jay S.

Herbst, Jay S. is an sole proprietor health care provider with primary practice located at 2866 Tamiami Trl Ste A , Port Charlotte FL 33952-5165. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Herbst, Jay S. can be contacted via phone (941) 764-1055.

Contact Information

Primary practice address
2866 Tamiami Trl Ste A Port Charlotte FL 33952-5165
Phone: (941) 764-1055
Fax: (941) 764-7984
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME0046734 Florida
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X ME0046734 Florida
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X ME0046734 Florida
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X ME0046734 Florida

Profile Details

NPI number 1710047097
LBN Legal business name Herbst, Jay S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2006
Last updated Mar 19th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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