Healthcare Provider Details

I. General information

NPI: 1144608209
Provider Name (Legal Business Name): DR SHERYL HAKALA MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2015
Last Update Date: 05/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 S ROME AVE
TAMPA FL
33606-2844
US

IV. Provider business mailing address

815 S ROME AVE
TAMPA FL
33606-2844
US

V. Phone/Fax

Practice location:
  • Phone: 813-541-3086
  • Fax: 866-316-5653
Mailing address:
  • Phone: 813-541-3086
  • Fax: 866-316-5653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberARNP 9367297
License Number StateFL

VIII. Authorized Official

Name: DR. SHERYL HAKALA
Title or Position: PSYCHIATRIST
Credential: M.D.
Phone: 813-712-9892