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NPI Code Detail

MEDICARE: JEFFREY HAZZARD ARNP

MEDICARE: JEFFREY HAZZARD ARNP
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
1363L00000XNurse PractitionerARNP1811402FL

General Provider Information

NPI Number : 1578562518
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY HAZZARD ARNP
Provider Business Mailing Address
First Line : 13403 BOYETTE RD
Second Line :
City : RIVERVIEW
State : FL
Zip : 33569-8742
Country : US
Telephone Number : 813-654-1775
Fax Number : 813-651-9082
Provider Business Practice Location Address
First Line : 13403 BOYETTE RD
Second Line :
City : RIVERVIEW
State : FL
Zip : 33569-8742
Country : US
Telephone Number : 813-654-1775
Fax Number : 813-651-9082
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 07/08/2007

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Directions to “ JEFFREY HAZZARD ARNP” Practice Location

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