MEDICARE: SYLVIA LEAN HAZELWOOD ARNP-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	363LF0000X	Family Nurse Practitioner	ARNP 3233312	FL
2	363LF0000X	Family Nurse Practitioner	31407	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5000014804	OTHER	FL	RAILROAD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	Y0755	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1851394274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYLVIA LEAN HAZELWOOD ARNP-C

Provider Business Mailing Address
First Line	:	6210 UPCOUNTRY DRIVE
Second Line	:
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33542-2860
Country	:	US
Telephone Number	:	813-486-4612
Fax Number	:	813-200-8913

Provider Business Practice Location Address
First Line	:	6210 UPCOUNTRY DRIVE
Second Line	:
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33542-2860
Country	:	US
Telephone Number	:	813-486-4612
Fax Number	:	813-200-8913

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	01/27/2026

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