David, Hazel-Ann M

David, Hazel-Ann M is an individual health care provider with primary practice located at 4401 S Orange Ave Ste 108 , Orlando FL 32806-6934. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. David, Hazel-Ann M can be contacted via phone (407) 245-1424.

Contact Information

Primary practice address
4401 S Orange Ave Ste 108 Orlando FL 32806-6934
Fax: (407) 245-1447
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME73461 Florida

Profile Details

NPI number 1356332340
LBN Legal business name David, Hazel-Ann M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated May 20th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356332340 NPPES
Florida MEDICAID 272639400

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