Individual
DR. CARL DAVID HASSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
836 PRUDENTIAL DR STE 1700, CREDENTIALING DEPARTMENT, JACKSONVILLE, FL 32207-8344
(904) 398-0125
(904) 398-1832
Mailing address
PO BOX 43667, JACKSONVILLE, FL 32203-3667
(904) 398-3760
(904) 398-1832
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME38385
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME38385
FL
207UN0901X
Nuclear Cardiology Physician
ME38385
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039967100
—
FL
Enumeration date
08/15/2005
Last updated
11/16/2015
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