Individual
DR. KARL MATTHEW HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 SE 2ND CT, SUITE 1144, FORT LAUDERDALE, FL 33301-3621
(954) 703-6038
(954) 703-6037
Mailing address
600 SE 2ND CT, SUITE 1144, FORT LAUDERDALE, FL 33301-3621
(954) 703-6038
(954) 703-6037
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
ME78524
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257887500
—
FL
01
—
47258
BCBS NUMBER
FL
Enumeration date
02/23/2006
Last updated
06/30/2016
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