Individual
THEODOROS HAILU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5000 W OAKLAND PARK BLVD, LAUDERDALE LAKES, FL 33313-1503
(954) 730-2750
Mailing address
PO BOX 863481, ORLANDO, FL 32886-3481
(800) 514-1494
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0089942
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270988100
—
FL
01
—
50653
BCBS
FL
01
—
P00290620
RR MCR
FL
Enumeration date
02/17/2006
Last updated
06/09/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us