Individual
DR. HAKAM KHAZRIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4100 WATERMAN WAY, TAVARES, FL 32778-5270
(352) 343-1117
(866) 445-2968
Mailing address
PO BOX 102222, ATTN CREDENTIALING, ATLANTA, GA 30368-2222
(239) 274-8500
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
ME157856
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114745800
—
FL
Enumeration date
06/24/2011
Last updated
08/09/2022
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