MEDICARE: MR. DOUGLASS MORRISON HASELL M.D.

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	208000000X	Pediatrics Physician	ME72410	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447256300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DOUGLASS MORRISON HASELL M.D.

Provider Business Mailing Address
First Line	:	2044 TRINITY OAKS BLVD
Second Line	:	STE 235
City	:	TRINITY
State	:	FL
Zip	:	34655-4405
Country	:	US
Telephone Number	:	727-375-5437
Fax Number	:	727-375-0502

Provider Business Practice Location Address
First Line	:	2044 TRINITY OAKS BLVD
Second Line	:	STE 235
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-3908
Country	:	US
Telephone Number	:	727-375-5437
Fax Number	:	727-375-0502

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

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	10/23/2015

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