MEDICARE: DR. LEE HASELHUHN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	MD438295	PA
2	207R00000X	Internal Medicine Physician	ME164317	FL

General Provider Information

NPI Number	:	1265575112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEE HASELHUHN M.D.

Provider Business Mailing Address
First Line	:	2995 DREW ST STE 10
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33759-3012
Country	:	US
Telephone Number	:	727-315-7496
Fax Number	:

Provider Business Practice Location Address
First Line	:	6901 SIMMONS LOOP FL 4
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33578-9498
Country	:	US
Telephone Number	:	813-302-8388
Fax Number	:	813-302-8453

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	03/07/2024

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