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MAURA HERTZOG PA
NPI 1427116235
Physician Assistant in Daytona Beach, FL

Active since December 05, 2006
1671 N CLYDE MORRIS BLVD, SUITE 100, DAYTONA BEACH, FL 32117(386) 274-2977(386) 274-2997 Get Directions Write a Review

NPPES record last updated: December 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maura Hertzog Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAURA HERTZOG PA (NPI 1427116235) is an individual physician assistant in Daytona Beach, Florida, licensed in Florida (PA2015) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1427116235
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMAURA HERTZOGCredential: PA
Location Address1671 N CLYDE MORRIS BLVD, SUITE 100Daytona Beach, FL 32117-5590
Mailing Address1671 N Clyde Morris Blvd, Suite 100Daytona Beach, FL 32117-5590 · (386) 274-2977 · Fax (386) 274-2997
Phone(386) 274-2977
Fax(386) 274-2997
Sole ProprietorNo
Enumeration DateDecember 5, 2006
Last NPPES UpdateDecember 30, 2016
✔ NPI 1427116235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA2015
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1671 N CLYDE MORRIS BLVD, Daytona Beach, FL 32117
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Other Identifiers 4

OtherP00450773FL · Medicare Rail Road
Medicare PINE0986YFL
Medicare UPINS59244FL
OtherPA2015FL · License

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRC ASSOCIATES LLC
Pain Medicine (Pain Medicine)
1671 N CLYDE MORRIS BLVD, SUITE 100
DAYTONA BEACH, FL 32117
Volusia County (386) 274-2977
KAVITA SHARMA, D.O., PL
Physical Medicine & Rehabilitation
1671 N CLYDE MORRIS BLVD, STE 100
DAYTONA BEACH, FL 32117
Volusia County (386) 274-2977
TSE CHUNG LEE, M.D., PL
Physical Medicine & Rehabilitation
1671 N CLYDE MORRIS BLVD, STE 100
DAYTONA BEACH, FL 32117
Volusia County (386) 274-2977
VINOD K MALIK M.D.
Pain Medicine (Interventional Pain Medicine)
1671 N CLYDE MORRIS BLVD, SUITE 100
DAYTONA BEACH, FL 32117
Volusia County (386) 274-2977

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maura Hertzog's NPI number?

The NPI number for Maura Hertzog is 1427116235. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Maura Hertzog located?

Maura Hertzog practices at 1671 N Clyde Morris Blvd Suite 100, Daytona Beach, FL 32117. The listed phone number is (386) 274-2977.

What is Maura Hertzog's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Maura Hertzog was last updated on December 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.