Healthcare Provider Details

I. General information

NPI: 1265668891
Provider Name (Legal Business Name): ANNE C HLAVACEK M.D., MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2009
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 MONTCLAIR RD SUITE 317
BIRMINGHAM AL
35213-1920
US

IV. Provider business mailing address

840 MONTCLAIR RD STE 317
BIRMINGHAM AL
35213-1944
US

V. Phone/Fax

Practice location:
  • Phone: 205-592-5135
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD450440
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME144215
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD.208110
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: