G FREDRICK HERDEL MD PA NPI 1821281601

NPI Information

  • NPI: 1821281601
  • Provider Name: G FREDRICK HERDEL MD PA
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 10D1018475
  • Address: 845 STATE ROAD 44
    NEW SMYRNA BEACH, FL
    ZIP 32168
  • Phone: (386) 423-2550

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NPI Details

G FREDRICK HERDEL MD PA is a specialist in New Smyrna Beach, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. G FREDRICK HERDEL MD PA NPI is 1821281601. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

845 STATE ROAD 44
NEW SMYRNA BEACH, FL
ZIP 32168-271
Phone: (386) 423-2550
Fax: (386) 423-2525

The provider's authorized official is Lisa A Swiderski .
The authorized official title is Billing Manager and has the following contact phone number (386) 423-2525.

The CLIA number assigned to this NPI record is 10D1018475 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/24/2007 and was last updated on 1/21/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistME 81028FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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