Provider Demographics
NPI:1659614089
Name:HERSCHMAN, YEHUDA (MD)
Entity Type:Individual
Prefix:
First Name:YEHUDA
Middle Name:
Last Name:HERSCHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5503 S CONGRESS AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:ATLANTIS
Mailing Address - State:FL
Mailing Address - Zip Code:33462-6626
Mailing Address - Country:US
Mailing Address - Phone:561-410-5110
Mailing Address - Fax:561-405-3173
Practice Address - Street 1:5503 S CONGRESS AVE STE 204
Practice Address - Street 2:
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462-6626
Practice Address - Country:US
Practice Address - Phone:561-410-5110
Practice Address - Fax:561-405-3173
Is Sole Proprietor?:No
Enumeration Date:2013-04-04
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME141293207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery