MEDICARE: DR. SHERYL MARIE HAKALA 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	2084P0800X	Psychiatry Physician	ME 88217	FL

General Provider Information

NPI Number	:	1427063841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHERYL MARIE HAKALA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 130308
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33681-0308
Country	:	US
Telephone Number	:	813-503-7404
Fax Number	:

Provider Business Practice Location Address
First Line	:	2510 S MACDILL AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-7218
Country	:	US
Telephone Number	:	813-503-7404
Fax Number	:	866-316-5653

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

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	07/02/2008

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