Healthcare Provider Details

I. General information

NPI: 1346597929
Provider Name (Legal Business Name): NON-SURGICAL ORTHOPEDICS MICHAEL HADLEY D O INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2012
Last Update Date: 12/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34876 US 19 N
PALM HARBOR FL
34684-1918
US

IV. Provider business mailing address

PO BOX 514
PALM HARBOR FL
34682-0514
US

V. Phone/Fax

Practice location:
  • Phone: 727-934-0150
  • Fax: 727-443-4206
Mailing address:
  • Phone: 727-934-0150
  • Fax: 727-443-4206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number8519
License Number StateFL

VIII. Authorized Official

Name: MICHAEL HADLEY
Title or Position: OWNER/DO
Credential: D.O.
Phone: 727-686-0544