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NPI Code Detail

MEDICARE: ELSA ULFERS HALE M.D.

MEDICARE: ELSA ULFERS HALE 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
1207V00000XObstetrics & Gynecology PhysicianME81541FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497704043
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELSA ULFERS HALE M.D.
Provider Business Mailing Address
First Line : 6516 GUNN HWY
Second Line :
City : TAMPA
State : FL
Zip : 33625-4022
Country : US
Telephone Number : 813-969-2340
Fax Number : 813-969-3877
Provider Business Practice Location Address
First Line : 110 S MACDILL AVE STE 300
Second Line :
City : TAMPA
State : FL
Zip : 33609-3589
Country : US
Telephone Number : 813-876-7073
Fax Number : 813-877-1277
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 05/04/2021

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Directions to “ ELSA ULFERS HALE M.D.” Practice Location

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