Individual
MS. JOAN VON HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
9929 RACE TRACK RD, SUITE 100, TAMPA, FL 33626-4458
(866) 416-5199
Mailing address
5079 N DIXIE HWY, #292, OAKLAND PARK, FL 33334-4000
(714) 321-9508
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SA2531
FL
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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