Individual
FREDERICK EMERSON HASTY IV
Active
Individual
FREDERICK EMERSON HASTY IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
112976
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005548600
—
FL
01
—
84926
FLORIDA BLUE
FL
Enumeration date
11/03/2008
Last updated
09/11/2012
Update your record
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