Individual
DR. VIDYA HATE'
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
250 HARRISON STREET, PARRISH MEDICAL GROUP, TITUSVILLE, FL 32780
(321) 633-8692
(321) 268-4922
Mailing address
805 CENTURY MEDICAL DR, SUITE C, TITUSVILLE, FL 32796-2100
(321) 268-6264
(321) 268-4922
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME51220
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037899200
—
FL
Enumeration date
09/01/2006
Last updated
03/18/2020
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