Individual
JERRY LEO HEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 VONDERBURG DRIVE, STE 115W, BRANDON, FL 33511-5969
(813) 685-0306
(813) 651-1026
Mailing address
4651 VAN DYKE RD, LUTZ, FL 33558-4880
(813) 321-1786
(813) 321-1787
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME38730
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070000215
RAILROAD MEDICARE
FL
05
—
101936200
—
FL
01
—
30425
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/12/2006
Last updated
11/06/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us