MEDICARE: MS. HAZEL BARBARA DORSEY MS, ARNP, AGNP-C

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
1	363LA2200X	Adult Health Nurse Practitioner	ARNP2061962	FL

General Provider Information

NPI Number	:	1174901177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HAZEL BARBARA DORSEY MS, ARNP, AGNP-C

Provider Business Mailing Address
First Line	:	7443 CITRUS BLOSSOM DR
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34637-7466
Country	:	US
Telephone Number	:	813-480-4048
Fax Number	:

Provider Business Practice Location Address
First Line	:	3617 W HILLSBOROUGH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-5713
Country	:	US
Telephone Number	:	844-665-4827
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2015
Last Update Date	:	05/21/2020

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