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NPI Code Detail

MEDICARE: RONALD HEDGEPETH

MEDICARE: RONALD HEDGEPETH
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
13747A0650XAttendant Care Provider

General Provider Information

NPI Number : 1720636293
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD HEDGEPETH
Provider Business Mailing Address
First Line : 4224 OAK LODGE WAY
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-5349
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4224 OAK LODGE WAY
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-5349
Country : US
Telephone Number : 646-238-5378
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2019
Last Update Date : 08/28/2019

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Directions to “ RONALD HEDGEPETH ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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